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General NPI Number Information
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NPI Number | 1144513607
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Entity Type | Individual
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Provider Name | DR. RONALD POWELL
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Gender | Male
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Dates
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Enumeration Date | 05/17/2011
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Last Update Date | 03/13/2017
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Provider Practice Location Address
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Address Line | 1900 MCLOUGHLIN BLVD STE 22
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City | OREGON CITY
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State | OR
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Zip | 97045-1072
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Country | US
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Telephone | 503-896-0068
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Fax |
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Provider Business Mailing Address
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Address Line | 6917 NE CLEVELAND AVE
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City | PORTLAND
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State | OR
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Zip | 97211-2309
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Country | US
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Telephone | 503-896-0068
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Fax |
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 0012496
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | 12496
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License Number State | OR
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