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General NPI Number Information
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NPI Number | 1396853503
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Entity Type | Organization
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Legal Business Name | NORTH GILLIAM COUNTY HEALTH DISTRICT
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Dates
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Enumeration Date | 08/28/2006
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Last Update Date | 04/15/2025
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Provider Practice Location Address
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Address Line | 110 ON THE MALL
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City | ARLINGTON
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State | OR
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Zip | 97812-0314
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Country | US
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Telephone | 541-705-2601
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Fax | 541-705-2610
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Provider Business Mailing Address
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Address Line | PO BOX 314
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City | ARLINGTON
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State | OR
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Zip | 97812-0314
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Country | US
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Telephone | 541-705-2601
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Fax | 541-705-2610
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Authorized Official
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Title or Position | CLINIC COORDINATOR
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Name | MICHELE N GUILLIAM
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Credential |
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Telephone | 541-705-2601
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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