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General NPI Number Information
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NPI Number | 1255536405
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Entity Type | Individual
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Provider Name | ANDREA HARRELL CHIAVARINI MD
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Gender | Female
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Dates
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Enumeration Date | 06/18/2007
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Last Update Date | 07/14/2025
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Provider Practice Location Address
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Address Line | 1535 N WILLIAMS AVE
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City | PORTLAND
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State | OR
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Zip | 97227-1885
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Country | US
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Telephone | 503-238-2067
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Fax |
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Provider Business Mailing Address
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Address Line | 232 NW 6TH AVE
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City | PORTLAND
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State | OR
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Zip | 97209-3609
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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 | 2083A0300X
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Taxonomy Name | Addiction Medicine (Preventive Medicine) Physician
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License Number | MD27441
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | MD60170852
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | MD27441
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License Number State | OR
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