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NPI 1346965142

NPI 1346965142 : MARK ORBAY ND : PORTLAND, OR

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General NPI Number Information
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    NPI Number           |    1346965142
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    Entity Type          |    Individual 
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    Provider Name        |    MARK ORBAY ND
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    10/05/2022
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    Last Update Date     |    10/05/2022
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Provider Practice Location Address
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    Address Line         |    3007 SE BELMONT ST 
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    City                 |    PORTLAND
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    State                |    OR
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    Zip                  |    97214-4026
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    Country              |    US
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    Telephone            |    503-445-7115
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    Fax                  |    503-445-7116
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Provider Business Mailing Address
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    Address Line         |    6 BROWN STREET 
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    City                 |    OTTAWA
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    State                |    ONTARIO
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    Zip                  |    K1S 1M1
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    Country              |    CA
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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        |    175F00000X
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    Taxonomy Name        |    Naturopath
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    License Number       |    1313
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    License Number State |    OR
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