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General NPI Number Information
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NPI Number | 1134203631
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Entity Type | Individual
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Provider Name | JOHN K BISCHOF M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/24/2006
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Last Update Date | 11/05/2019
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Provider Practice Location Address
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Address Line | 315 SW 5TH AVE. 7TH FLOOR
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City | PORTLAND
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State | OR
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Zip | 97204-1703
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Country | US
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Telephone | 503-416-4100
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Fax | 503-416-3721
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Provider Business Mailing Address
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Address Line | 315 SW 5TH AVE. 7TH FLOOR
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City | PORTLAND
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State | OR
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Zip | 97204-1703
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Country | US
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Telephone | 503-416-4100
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Fax | 503-416-3721
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MD17221
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License Number State | OR
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