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General NPI Number Information
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NPI Number | 1376488338
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Entity Type | Individual
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Provider Name | RUMER MATCHAM RN
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Gender | Female
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Dates
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Enumeration Date | 04/23/2026
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Last Update Date | 04/23/2026
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Provider Practice Location Address
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Address Line | 808 SW 15TH AVE
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City | PORTLAND
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State | OR
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Zip | 97205-1907
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Country | US
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Telephone | 503-274-4994
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Fax |
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Provider Business Mailing Address
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Address Line | 808 SW 15TH AVE
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City | PORTLAND
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State | OR
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Zip | 97205-1907
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Country | US
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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 | 163WR1000X
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Taxonomy Name | Reproductive Endocrinology/Infertility Registered Nurse
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License Number | 202204733RN
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License Number State | OR
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