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General NPI Number Information
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NPI Number | 1447707617
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Entity Type | Organization
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Legal Business Name | THE YOUNG MEN'S CHRISTIAN ASSOCIATION OF COLUMBIA-WILLAMETTE
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Dates
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Enumeration Date | 09/06/2016
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Last Update Date | 09/06/2016
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Provider Practice Location Address
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Address Line | 23000 SW PACIFIC HWY
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City | SHERWOOD
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State | OR
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Zip | 97140-8061
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Country | US
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Telephone | 503-625-9622
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Fax | 503-625-1473
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Provider Business Mailing Address
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Address Line | 9500 SW BARBUR BLVD SUITE 200
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City | PORTLAND
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State | OR
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Zip | 97219-5466
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Country | US
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Telephone | 503-223-9622
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Fax | 503-223-1247
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Authorized Official
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Title or Position | PRESIDENT & CEO
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Name | ROBERT G HALL
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Credential |
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Telephone | 503-221-5334
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174H00000X
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Taxonomy Name | Health Educator
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License Number |
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License Number State |
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