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General NPI Number Information
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NPI Number | 1255363750
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Entity Type | Individual
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Provider Name | PAMELA J. RATHBONE WHCNP
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Gender | Female
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Dates
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Enumeration Date | 07/07/2006
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Last Update Date | 02/01/2026
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Provider Practice Location Address
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Address Line | 4140 SW 19TH CT
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City | GRESHAM
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State | OR
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Zip | 97080-8351
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Country | US
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Telephone | 971-235-4335
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Fax |
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Provider Business Mailing Address
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Address Line | 4140 SW 19TH CT
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City | GRESHAM
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State | OR
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Zip | 97080-8351
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Country | US
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Telephone | 971-235-4335
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 092006979N7
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 163WG0000X
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Taxonomy Name | General Practice Registered Nurse
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License Number | 092006979RN
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License Number State | OR
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