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General NPI Number Information
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NPI Number | 1417455783
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Entity Type | Individual
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Provider Name | MARK DOOHER D.C.
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Gender | Male
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Dates
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Enumeration Date | 01/31/2018
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Last Update Date | 03/04/2024
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Provider Practice Location Address
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Address Line | 1323 NE ORENCO STATION PKWY STE 300
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City | HILLSBORO
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State | OR
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Zip | 97124-5416
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Country | US
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Telephone | 503-924-1777
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Fax |
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Provider Business Mailing Address
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Address Line | 446 NE 20TH PL
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City | NEWPORT
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State | OR
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Zip | 97365-1834
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Country | US
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Telephone | 541-961-5527
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 5873
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License Number State | OR
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