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General NPI Number Information
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NPI Number | 1407528300
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Entity Type | Individual
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Provider Name | MOLLY JOELL TURNER DNP, PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 09/29/2021
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Last Update Date | 07/21/2024
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Provider Practice Location Address
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Address Line | 955 NE 3RD ST
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City | GRESHAM
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State | OR
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Zip | 97030-7418
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Country | US
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Telephone | 503-491-5896
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Fax |
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Provider Business Mailing Address
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Address Line | 3455 SW US VETERANS HOSPITAL RD
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City | PORTLAND
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State | OR
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Zip | 97239-3076
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Country | US
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Telephone |
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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 | 202111688RN
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 24382779
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License Number State | OR
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