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General NPI Number Information
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NPI Number | 1114830932
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Entity Type | Organization
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Legal Business Name | PACIFIC POINT HEALTH AND WELLNESS PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 09/23/2026
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Last Update Date | 09/23/2026
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Provider Practice Location Address
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Address Line | 9465 SW CHERRY LN
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City | TUALATIN
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State | OR
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Zip | 97062-6011
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Country | US
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Telephone | 702-808-9568
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Fax |
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Provider Business Mailing Address
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Address Line | 9465 SW CHERRY LN
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City | TUALATIN
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State | OR
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Zip | 97062-6011
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Country | US
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Telephone | 702-808-9568
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | CYNTHIA RAE HOUTROUW
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Credential | NP
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Telephone | 702-808-9568
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State |
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