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General NPI Number Information
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NPI Number | 1255057980
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Entity Type | Organization
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Legal Business Name | COMFORT CLINIC PLLC
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Dates
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Enumeration Date | 10/14/2022
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Last Update Date | 09/24/2024
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Provider Practice Location Address
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Address Line | 11731 NE GLISAN ST
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City | PORTLAND
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State | OR
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Zip | 97220-2141
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Country | US
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Telephone | 503-409-3422
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Fax |
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Provider Business Mailing Address
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Address Line | 11954 NE GLISAN ST # BOX 437
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City | PORTLAND
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State | OR
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Zip | 97220-2143
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Country | US
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Telephone | 503-489-7118
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Fax | 503-238-1038
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | PAMELA DAWN VOLTZ
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Credential | PHYSCIAN ASSISTANT
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Telephone | 503-489-7118
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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