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General NPI Number Information
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NPI Number | 1225563190
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Entity Type | Individual
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Provider Name | ANICKA LEAH GABRIELLA OYER MEYERS PMHNP-BC, RN
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Gender | Female
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Dates
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Enumeration Date | 04/27/2017
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Last Update Date | 02/13/2025
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Provider Practice Location Address
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Address Line | 110 S BANCROFT ST STE B
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City | PORTLAND
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State | OR
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Zip | 97239-8523
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Country | US
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Telephone | 971-328-1565
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Fax |
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Provider Business Mailing Address
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Address Line | 110 S BANCROFT ST STE B
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City | PORTLAND
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State | OR
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Zip | 97239-8523
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 201807417NP-PP
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN61368679
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 163WA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Registered Nurse
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License Number | 201607783RN
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License Number State | OR
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Taxonomy #4
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | AP61373216
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License Number State | WA
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