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General NPI Number Information
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NPI Number | 1346536018
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Entity Type | Individual
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Provider Name | RUTH CHRISTIANSEN PA-C
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Gender | Female
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Dates
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Enumeration Date | 06/21/2011
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Last Update Date | 05/22/2025
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Provider Practice Location Address
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Address Line | 1475 MOUNT HOOD AVE STE 110
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City | WOODBURN
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State | OR
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Zip | 97071-9196
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Country | US
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Telephone | 971-983-5360
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 3417
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City | PORTLAND
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State | OR
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Zip | 97208-3417
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Country | US
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Telephone |
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA152865
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA152865
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License Number State | OR
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