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General NPI Number Information
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NPI Number | 1326320433
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Entity Type | Individual
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Provider Name | FAREN LEANNE ARTIS
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Gender | Female
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Dates
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Enumeration Date | 09/14/2011
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Last Update Date | 02/10/2026
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Provider Practice Location Address
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Address Line | 3716 SE INTERNATIONAL WAY
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City | MILWAUKIE
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State | OR
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Zip | 97222-6001
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Country | US
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Telephone | 503-659-0073
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Fax | 503-659-7471
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Provider Business Mailing Address
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Address Line | PO BOX 1428
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City | ESTACADA
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State | OR
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Zip | 97023-1428
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Country | US
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Telephone | 503-307-0299
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Fax | 503-307-0299
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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 | MA60164472
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 16703
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License Number State | OR
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