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General NPI Number Information
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NPI Number | 1447903562
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Entity Type | Individual
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Provider Name | SCARLETT PAAU KETTUNEN LAC
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Gender | Female
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Dates
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Enumeration Date | 01/28/2022
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Last Update Date | 01/28/2026
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Provider Practice Location Address
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Address Line | 12615 NE HALSEY ST
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City | PORTLAND
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State | OR
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Zip | 97230-1930
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Country | US
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Telephone | 971-377-1717
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Fax |
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Provider Business Mailing Address
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Address Line | 2639 N SUMNER ST
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City | PORTLAND
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State | OR
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Zip | 97217-3839
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Country | US
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Telephone | 971-337-8988
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AC204499
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License Number State | OR
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