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General NPI Number Information
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NPI Number | 1285568949
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Entity Type | Organization
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Legal Business Name | LIN HEALTH MEDICAL GROUP OF OREGON, P.C.
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Dates
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Enumeration Date | 06/09/2026
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Last Update Date | 06/09/2026
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Provider Practice Location Address
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Address Line | 1500 NW BETHANY BLVD STE 200
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City | BEAVERTON
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State | OR
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Zip | 97006-5236
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Country | US
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Telephone | 888-691-5818
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Fax | 877-391-0882
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Provider Business Mailing Address
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Address Line | 3513 BRIGHTON BLVD STE 457
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City | DENVER
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State | CO
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Zip | 80216-3810
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Country | US
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Telephone | 888-691-5818
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Fax | 877-391-0882
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Authorized Official
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Title or Position | DIRECTOR, REVENUE & OPERATIONS
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Name | JESSIE DALTON
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Credential |
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Telephone | 720-782-1046
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number |
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License Number State |
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