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General NPI Number Information
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NPI Number | 1306739263
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Entity Type | Individual
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Provider Name | CORY S JOYNER LMT
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Gender | Female
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Dates
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Enumeration Date | 05/30/2025
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Last Update Date | 05/31/2025
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Provider Practice Location Address
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Address Line | 480 5TH ST
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City | LAKE OSWEGO
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State | OR
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Zip | 97034-3079
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Country | US
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Telephone | 503-793-8676
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Fax |
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Provider Business Mailing Address
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Address Line | 4878 SE POLLARD PL
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City | MILWAUKIE
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State | OR
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Zip | 97222-3253
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Country | US
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Telephone | 503-793-8676
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 19372
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License Number State | OR
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