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General NPI Number Information
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NPI Number | 1346598984
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Entity Type | Individual
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Provider Name | ERIC JON SCHETTINI PHARMD
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Gender | Male
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Dates
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Enumeration Date | 08/28/2012
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Last Update Date | 01/14/2020
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Provider Practice Location Address
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Address Line | 5050 NE HOYT ST STE 222
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City | PORTLAND
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State | OR
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Zip | 97213-2980
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Country | US
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Telephone | 503-215-9968
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Fax |
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Provider Business Mailing Address
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Address Line | 13511 SE CLAY ST
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City | PORTLAND
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State | OR
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Zip | 97233-1746
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Country | US
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Telephone | 360-571-2575
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Fax | 877-302-0306
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RPH-0013265
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PH60306544
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | RPH-0013265
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License Number State | OR
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