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General NPI Number Information
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NPI Number | 1396597738
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Entity Type | Organization
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Legal Business Name | COLIBRI CHIRORPRACTIC CLINIC
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Dates
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Enumeration Date | 04/01/2024
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Last Update Date | 04/01/2024
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Provider Practice Location Address
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Address Line | 11830 KERR PKWY STE 300
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City | LAKE OSWEGO
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State | OR
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Zip | 97035-1226
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Country | US
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Telephone | 503-964-4212
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Fax | 503-926-9142
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Provider Business Mailing Address
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Address Line | 11830 KERR PKWY STE 300
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City | LAKE OSWEGO
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State | OR
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Zip | 97035-1226
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Country | US
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Telephone | 503-964-4212
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Fax | 503-926-9142
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. BETTI BARRERA
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Credential |
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Telephone | 503-953-5008
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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