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General NPI Number Information
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NPI Number | 1417796541
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Entity Type | Organization
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Legal Business Name | INTERMOUNTAIN CLAIMS, INC.
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Dates
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Enumeration Date | 05/20/2024
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Last Update Date | 05/20/2024
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Provider Practice Location Address
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Address Line | 112 UPLAND DR
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City | WOODLAND
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State | WA
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Zip | 98674-9296
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Country | US
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Telephone | 360-225-6681
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Fax | 503-626-7105
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Provider Business Mailing Address
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Address Line | PO BOX 23547
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City | PORTLAND
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State | OR
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Zip | 97281-3547
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Country | US
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Telephone | 503-626-6966
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Fax | 503-626-7105
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Authorized Official
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Title or Position | ADMINISTRATIVE COORDINATOR
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Name | CHRISTINE GORDON
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Credential |
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Telephone | 503-924-8658
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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