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General NPI Number Information
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NPI Number | 1295398691
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Entity Type | Individual
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Provider Name | JORDAN ROBERT ALBRICH MD
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Gender | Male
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Dates
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Enumeration Date | 04/21/2019
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Last Update Date | 08/08/2025
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Provider Practice Location Address
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Address Line | 3240 NE 3RD AVE
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City | CAMAS
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State | WA
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Zip | 98607-2408
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Country | US
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Telephone | 360-729-8234
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Fax | 360-729-3337
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Provider Business Mailing Address
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Address Line | 462 1ST AVE STE 16N1
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City | NEW YORK
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State | NY
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Zip | 10016-9196
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Country | US
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Telephone | 503-302-0967
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 338367
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD61312052
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License Number State | WA
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