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General NPI Number Information
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NPI Number | 1235944091
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Entity Type | Individual
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Provider Name | TERI ANN BARTLOW DNP
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Gender | Female
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Dates
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Enumeration Date | 02/10/2025
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Last Update Date | 09/25/2025
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Provider Practice Location Address
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Address Line | 4455 NE HIGHWAY 20
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City | CORVALLIS
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State | OR
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Zip | 97330-9695
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Country | US
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Telephone | 541-758-5900
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Fax |
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Provider Business Mailing Address
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Address Line | 3415 SE POWELL BLVD
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City | PORTLAND
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State | OR
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Zip | 97202-3371
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Country | US
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Telephone | 503-234-9591
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 10000859
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 10000859
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License Number State | OR
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