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General NPI Number Information
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NPI Number | 1346612108
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Entity Type | Individual
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Provider Name | COURTNEY MARQUES TURK R.D.N.
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Gender | Female
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Dates
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Enumeration Date | 10/20/2015
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Last Update Date | 12/24/2024
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Provider Practice Location Address
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Address Line | 3550 N INTERSTATE AVE
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City | PORTLAND
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State | OR
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Zip | 97227-1196
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Country | US
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Telephone | 503-201-7994
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Fax |
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Provider Business Mailing Address
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Address Line | 19985 SW LUREE ST
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City | BEAVERTON
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State | OR
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Zip | 97003-2149
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Country | US
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Telephone | 630-267-1883
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 86038897
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License Number State |
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