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General NPI Number Information
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NPI Number | 1326230517
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Entity Type | Organization
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Legal Business Name | GRESHAM NATUROPATHIC CLINIC, P.C.
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Dates
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Enumeration Date | 08/13/2007
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Last Update Date | 08/13/2007
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Provider Practice Location Address
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Address Line | 1217 NE BURNSIDE RD SUITE 702
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City | GRESHAM
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State | OR
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Zip | 97030-6722
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Country | US
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Telephone | 503-465-9799
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Fax | 503-489-2901
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Provider Business Mailing Address
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Address Line | 1217 NE BURNSIDE RD SUITE 702
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City | GRESHAM
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State | OR
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Zip | 97030-6722
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Country | US
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Telephone | 503-465-9799
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Fax | 503-489-2901
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Authorized Official
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Title or Position | OWNER
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Name | DR. ARIS ANDREW CAMPBELL
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Credential | N.D.
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Telephone | 503-465-9799
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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