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General NPI Number Information
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NPI Number | 1437328903
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Entity Type | Organization
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Legal Business Name | SHERWOOD FAMILY MEDICINE PC
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Dates
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Enumeration Date | 02/28/2008
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Last Update Date | 02/28/2008
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Provider Practice Location Address
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Address Line | 20015 SW PACIFIC HWY SUITE 221
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City | SHERWOOD
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State | OR
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Zip | 97140
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Country | US
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Telephone | 503-625-2848
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Fax | 503-625-2899
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Provider Business Mailing Address
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Address Line | 20015 SW PACIFIC HWY SUITE 221
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City | SHERWOOD
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State | OR
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Zip | 97140
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Country | US
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Telephone | 503-625-2848
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Fax | 503-625-2899
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Authorized Official
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Title or Position | OWNER
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Name | MAGGIE K YU
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Credential | MD
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Telephone | 503-515-6269
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | MD23583
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License Number State | OR
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