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General NPI Number Information
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NPI Number | 1235313214
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Entity Type | Individual
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Provider Name | JEFF CHAMBERLAIN PHARM D
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Gender | Male
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Dates
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Enumeration Date | 12/26/2007
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Last Update Date | 04/28/2020
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Provider Practice Location Address
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Address Line | 1130 NW 22ND AVE STE 400
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City | PORTLAND
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State | OR
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Zip | 97210-2971
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Country | US
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Telephone | 503-413-6555
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Fax | 503-413-6563
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Provider Business Mailing Address
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Address Line | 809 NE 30TH AVE
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City | PORTLAND
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State | OR
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Zip | 97232-2421
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Country | US
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Telephone | 503-701-2086
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 1736
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License Number State | AK
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RPH-0011117
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License Number State | OR
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