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General NPI Number Information
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NPI Number | 1396935870
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Entity Type | Individual
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Provider Name | MANAMI FURUYA NP
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Gender | Female
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Dates
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Enumeration Date | 07/31/2007
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 5 CENTERPOINTE DR SUITE 600
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City | LAKE OSWEGO
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State | OR
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Zip | 97035-8651
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Country | US
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Telephone | 503-444-0556
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Fax |
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Provider Business Mailing Address
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Address Line | 5439 NW SKYCREST PKWY
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City | PORTLAND
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State | OR
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Zip | 97229-2306
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Country | US
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Telephone | 503-310-7535
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 200040575RN
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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 | RN60180981
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | AP60180982
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License Number State | WA
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 200850101NP FNP-PP
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License Number State | OR
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