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General NPI Number Information
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NPI Number | 1306424361
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Entity Type | Individual
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Provider Name | ALINNE G COLIN VALENZUELA CNM
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Gender | Female
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Dates
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Enumeration Date | 03/31/2021
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Last Update Date | 06/18/2025
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Provider Practice Location Address
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Address Line | 24850 SE STARK ST STE 200
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City | GRESHAM
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State | OR
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Zip | 97030-8320
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Country | US
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Telephone | 503-491-9444
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 3777
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City | PORTLAND
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State | OR
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Zip | 97208-3777
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Country | US
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Telephone | 415-910-1695
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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 | 163WC1500X
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Taxonomy Name | Community Health Registered Nurse
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License Number | 61137694
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 363LX0001X
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Taxonomy Name | Obstetrics & Gynecology Nurse Practitioner
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License Number | AP61609852
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | 10010095
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License Number State | OR
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