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General NPI Number Information
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NPI Number | 1174898795
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Entity Type | Individual
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Provider Name | CAROLINE MAROTEN OLNEY NP
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Gender | Female
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Dates
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Enumeration Date | 03/14/2012
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Last Update Date | 05/27/2025
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Provider Practice Location Address
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Address Line | 5100 S MACADAM AVE STE 200
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City | PORTLAND
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State | OR
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Zip | 97239-3827
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Country | US
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Telephone | 415-596-3567
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Fax |
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Provider Business Mailing Address
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Address Line | 1301 DELAWARE ST
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City | BERKELEY
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State | CA
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Zip | 94702-1408
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Country | US
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Telephone | 415-596-3567
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 17475
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 201901141NP
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License Number State | OR
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Taxonomy #3
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Taxonomy Code | 163WM0705X
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Taxonomy Name | Medical-Surgical Registered Nurse
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License Number | 641291
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License Number State | CA
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