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General NPI Number Information
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NPI Number | 1447632146
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Entity Type | Individual
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Provider Name | LISA CUNEO D.O.
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Gender | Female
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Dates
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Enumeration Date | 06/18/2015
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Last Update Date | 07/28/2025
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Provider Practice Location Address
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Address Line | 10315 NE TANASBOURNE DR
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City | HILLSBORO
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State | OR
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Zip | 97124-7836
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Country | US
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Telephone | 800-213-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 1885 NW QUIMBY ST APT 209
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City | PORTLAND
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State | OR
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Zip | 97209-2181
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Country | US
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Telephone | 408-892-5828
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | OL60560489
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | DO189142
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License Number State | OR
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