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NPI 1215272836

NPI 1215272836 : VALERIE ELIZABETH FERDINAND ND : PORTLAND, OR

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General NPI Number Information
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    NPI Number           |    1215272836
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    Entity Type          |    Individual 
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    Provider Name        |    VALERIE ELIZABETH FERDINAND ND
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    12/07/2012
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    Last Update Date     |    04/28/2025
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Provider Practice Location Address
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    Address Line         |    9498 SW BARBUR BLVD STE 315 
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    City                 |    PORTLAND
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    State                |    OR
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    Zip                  |    97219-5423
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    Country              |    US
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    Telephone            |    503-771-0615
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    Fax                  |    503-771-1660
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Provider Business Mailing Address
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    Address Line         |    9498 SW BARBUR BLVD STE 315 
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    City                 |    PORTLAND
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    State                |    OR
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    Zip                  |    97219-5423
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    Country              |    US
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    Telephone            |    503-771-0615
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    Fax                  |    503-771-1660
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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        |    175F00000X
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    Taxonomy Name        |    Naturopath
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    License Number       |    1926
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    License Number State |    OR
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