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General NPI Number Information
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NPI Number | 1205511664
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Entity Type | Organization
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Legal Business Name | CITRINE HOLISTIC HEALTH, LLC
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Dates
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Enumeration Date | 06/21/2023
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Last Update Date | 07/10/2023
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Provider Practice Location Address
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Address Line | 15962 BOONES FERRY RD STE 209
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City | LAKE OSWEGO
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State | OR
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Zip | 97035-4360
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Country | US
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Telephone | 971-979-0907
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Fax |
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Provider Business Mailing Address
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Address Line | 15962 BOONES FERRY RD STE 209
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City | LAKE OSWEGO
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State | OR
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Zip | 97035-4360
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Country | US
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Telephone | 971-979-0907
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Fax |
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Authorized Official
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Title or Position | NATUROPATHIC PHYSICIAN
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Name | KATYNA TRUVAL
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Credential | ND
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Telephone | 971-979-0907
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 133N00000X
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Taxonomy Name | Nutritionist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 175F00000X
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Taxonomy Name | Naturopath
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License Number |
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License Number State |
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