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General NPI Number Information
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NPI Number | 1376482570
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Entity Type | Organization
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Legal Business Name | OSWEGO MEDICAL LLC
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Dates
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Enumeration Date | 03/25/2026
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Last Update Date | 03/25/2026
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Provider Practice Location Address
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Address Line | 17050 PILKINGTON RD STE 220
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City | LAKE OSWEGO
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State | OR
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Zip | 97035-6309
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Country | US
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Telephone | 541-392-6226
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Fax | 541-325-4063
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Provider Business Mailing Address
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Address Line | 17050 PILKINGTON RD STE 220
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City | LAKE OSWEGO
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State | OR
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Zip | 97035-6309
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Country | US
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Telephone | 541-392-6226
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Fax | 541-325-4063
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Authorized Official
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Title or Position | MANAGER
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Name | JAMIE KEIG
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Credential | MSN, FNP-C
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Telephone | 541-392-6226
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 133N00000X
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Taxonomy Name | Nutritionist
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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 | 163WG0000X
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Taxonomy Name | General Practice Registered Nurse
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 171400000X
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Taxonomy Name | Health & Wellness Coach
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 202D00000X
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Taxonomy Name | Integrative Medicine Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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