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General NPI Number Information
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NPI Number | 1295651800
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Entity Type | Organization
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Legal Business Name | PACIFIC NORTHWEST HAIR RESTORATION
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Dates
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Enumeration Date | 06/26/2026
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Last Update Date | 06/26/2026
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Provider Practice Location Address
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Address Line | 9735 SW SHADY LN STE 200
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City | TIGARD
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State | OR
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Zip | 97223-5481
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Country | US
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Telephone | 503-941-5029
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Fax | 503-941-5029
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Provider Business Mailing Address
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Address Line | 2450 NE MARY ROSE PL STE 205
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City | BEND
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State | OR
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Zip | 97701-7132
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Country | US
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Telephone | 541-749-7000
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Fax | 541-749-7005
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | DR. ANDREW PATRICK HIGGINS
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Credential | MD
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Telephone | 541-480-6612
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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