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General NPI Number Information
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NPI Number | 1396485371
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Entity Type | Individual
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Provider Name | SOPHIE A WESTRUD WHCNP
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Gender | Female
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Dates
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Enumeration Date | 03/29/2022
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Last Update Date | 11/17/2025
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Provider Practice Location Address
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Address Line | 940 ROYAL AVE UNIT 350
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City | MEDFORD
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State | OR
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Zip | 97504-6194
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Country | US
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Telephone | 541-732-7460
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Fax |
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Provider Business Mailing Address
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Address Line | 1000 N OAK AVE
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City | MARSHFIELD
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State | WI
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Zip | 54449-5703
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Country | US
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Telephone | 715-387-5511
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 202207004NP-PP
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 331632
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 17325
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License Number State | WI
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