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General NPI Number Information
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NPI Number | 1184852899
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Entity Type | Individual
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Provider Name | POONAM WALIA CHHIBBER MD
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Gender | Female
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Dates
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Enumeration Date | 07/01/2009
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Last Update Date | 03/13/2026
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Provider Practice Location Address
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Address Line | 19755 SW TUALATIN VALLEY HWY
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City | BEAVERTON
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State | OR
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Zip | 97003-2338
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Country | US
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Telephone | 503-922-2888
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Fax | 971-402-1727
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Provider Business Mailing Address
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Address Line | 19755 SW TUALATIN VALLEY HWY
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City | BEAVERTON
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State | OR
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Zip | 97003-2338
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Country | US
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Telephone | 503-922-2888
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Fax | 971-402-1727
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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 | 207QB0002X
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Taxonomy Name | Obesity Medicine (Family Medicine) Physician
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License Number | MD156845
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD156845
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License Number State | OR
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