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General NPI Number Information
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NPI Number | 1396167433
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Entity Type | Individual
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Provider Name | DYLAN A JONES PA-S,RDN, CDCES, CES
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Gender | Male
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Dates
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Enumeration Date | 01/08/2014
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Last Update Date | 03/03/2026
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Provider Practice Location Address
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Address Line | 9000 N LOMBARD ST
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City | PORTLAND
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State | OR
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Zip | 97203-3006
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Country | US
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Telephone | 503-988-5558
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Fax |
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Provider Business Mailing Address
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Address Line | 9000 N LOMBARD ST
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City | PORTLAND
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State | OR
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Zip | 97203-3006
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Country | US
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Telephone | 503-988-5558
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 1237677
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | DI60285507
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | LD-D-10170730
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License Number State | OR
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