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General NPI Number Information
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NPI Number | 1366435372
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Entity Type | Individual
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Provider Name | JAMIE R ZILVERBERG FNP
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Gender | Female
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Dates
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Enumeration Date | 08/24/2005
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Last Update Date | 10/08/2024
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Provider Practice Location Address
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Address Line | 19260 SW 65TH AVE
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City | TUALATIN
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State | OR
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Zip | 97062-5701
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Country | US
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Telephone | 971-262-9700
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Fax | 971-262-9701
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Provider Business Mailing Address
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Address Line | 1400 SW 5TH AVE STE 500
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City | PORTLAND
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State | OR
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Zip | 97201-5537
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Country | US
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Telephone | 866-617-6855
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Fax | 503-346-8015
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 200550064NP
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 200550064NP
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License Number State | OR
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