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General NPI Number Information
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NPI Number | 1366750218
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Entity Type | Organization
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Legal Business Name | NEHALEM BAY HEALTH CENTER AND PHARMACY
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Dates
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Enumeration Date | 09/14/2010
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Last Update Date | 11/17/2025
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Provider Practice Location Address
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Address Line | 885 NEHALEM BLVD
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City | WHEELER
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State | OR
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Zip | 97147-0035
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Country | US
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Telephone | 503-368-7455
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Fax | 503-368-7496
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Provider Business Mailing Address
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Address Line | PO BOX 176
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City | WHEELER
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State | OR
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Zip | 97147-0176
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Country | US
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Telephone | 503-368-7455
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Fax | 503-368-7496
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Authorized Official
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Title or Position | CEO
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Name | GAIL NELSON
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Credential |
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Telephone | 800-368-5182
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | RP-0002615-CS
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License Number State | OR
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