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General NPI Number Information
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NPI Number | 1356545875
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Entity Type | Organization
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Legal Business Name | UNIVERSITY OF PORTLAND HEALTH CENTER
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Dates
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Enumeration Date | 06/11/2007
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Last Update Date | 12/06/2022
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Provider Practice Location Address
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Address Line | 5000 N WILLAMETTE BLVD
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City | PORTLAND
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State | OR
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Zip | 97203-5743
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Country | US
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Telephone | 503-943-7134
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Fax | 503-943-7199
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Provider Business Mailing Address
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Address Line | 5000 N WILLAMETTE BLVD
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City | PORTLAND
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State | OR
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Zip | 97203-5743
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Country | US
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Telephone | 503-943-7134
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Fax | 503-943-7199
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Authorized Official
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Title or Position | RN CLINIC MANAGER
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Name | TAMIKO HOY
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Credential | RN
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Telephone | 503-943-8394
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QS1000X
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Taxonomy Name | Student Health Clinic/Center
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License Number |
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License Number State |
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