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General NPI Number Information
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NPI Number | 1316238603
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Entity Type | Individual
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Provider Name | MINI ZHANG M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/21/2011
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Last Update Date | 02/18/2025
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Provider Practice Location Address
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Address Line | 5 CENTERPOINTE DR STE 320
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City | LAKE OSWEGO
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State | OR
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Zip | 97035-8696
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Country | US
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Telephone | 971-213-2837
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Fax |
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Provider Business Mailing Address
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Address Line | 14523 WESTLAKE DR STE 14
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City | LAKE OSWEGO
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State | OR
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Zip | 97035-7785
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Country | US
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Telephone | 971-301-5423
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MD171028
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | MD171028
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License Number State | OR
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