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General NPI Number Information
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NPI Number | 1144351990
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Entity Type | Individual
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Provider Name | PATRICK STEVEN SAWYER PA-C
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Gender | Male
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Dates
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Enumeration Date | 03/07/2007
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Last Update Date | 12/28/2009
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Provider Practice Location Address
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Address Line | 1040 NW 22ND AVE SUITE 500
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City | PORTLAND
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State | OR
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Zip | 97210-3057
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Country | US
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Telephone | 503-227-5050
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Fax | 503-227-2462
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Provider Business Mailing Address
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Address Line | 1125 NW 9TH AVE #408
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City | PORTLAND
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State | OR
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Zip | 97209-2864
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Country | US
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Telephone | 949-554-9388
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Fax | 503-227-2462
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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 | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | PA00536
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License Number State | OR
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