{
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"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "503-482-9092",
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"FirstLinePracticeLocationAddress": "3942 SE HAWTHORNE BLVD",
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"EnumerationDate": "04/05/2011",
"LastUpdateDate": "05/23/2025",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "RAMOS",
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"AuthorizedOfficialTelephoneNumber": "503-482-9092",
"Taxonomies": {
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{
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},
{
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}
]
},
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}
}