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General NPI Number Information
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NPI Number | 1295088847
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Entity Type | Organization
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Legal Business Name | NCFC
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Dates
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Enumeration Date | 10/19/2012
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Last Update Date | 05/30/2019
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Provider Practice Location Address
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Address Line | 2100 SW CAMELOT CT
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City | PORTLAND
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State | OR
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Zip | 97225-3700
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Country | US
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Telephone | 503-252-8125
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Fax | 503-256-8422
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Provider Business Mailing Address
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Address Line | 2100 SW CAMELOT CT
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City | PORTLAND
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State | OR
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Zip | 97225-3700
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Country | US
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Telephone | 503-252-8125
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Fax | 503-256-8422
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | DR. ALINA GRIMSTED
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Credential |
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Telephone | 503-252-8125
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 176B00000X
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Taxonomy Name | Midwife
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QB0400X
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Taxonomy Name | Birthing Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 175F00000X
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Taxonomy Name | Naturopath
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License Number |
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License Number State |
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