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General NPI Number Information
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NPI Number | 1205114295
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Entity Type | Individual
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Provider Name | MEGHAN E. BRENNAN NP
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Gender | Female
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Dates
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Enumeration Date | 07/26/2011
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Last Update Date | 10/10/2025
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Provider Practice Location Address
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Address Line | 178 SW 2ND AVE
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City | CANBY
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State | OR
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Zip | 97013-4152
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Country | US
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Telephone | 503-416-4547
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Fax | 503-416-4553
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Provider Business Mailing Address
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Address Line | 6420 SW MACADAM AVE SUITE 300
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City | PORTLAND
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State | OR
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Zip | 97239-3507
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Country | US
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Telephone |
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 26NR23132100
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 20864
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 201250176NP
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License Number State | OR
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | TPAN8
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License Number State | FL
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Taxonomy #5
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 349244
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License Number State | NY
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