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General NPI Number Information
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NPI Number | 1467751958
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Entity Type | Organization
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Legal Business Name | OREGON HEALTHCARE RESOURCES LLC
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Dates
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Enumeration Date | 03/23/2011
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Last Update Date | 03/23/2011
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Provider Practice Location Address
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Address Line | 1435 G ST
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City | SPRINGFIELD
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State | OR
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Zip | 97477-4113
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Country | US
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Telephone | 541-242-4812
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Fax | 541-242-4813
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Provider Business Mailing Address
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Address Line | PO BOX 1648
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City | EUGENE
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State | OR
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Zip | 97440-1648
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Country | US
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Telephone | 541-687-4900
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Fax | 541-687-4904
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Authorized Official
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Title or Position | SUPPORT SERVICES MANAGER
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Name | BRENDA A. SHETER
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Credential |
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Telephone | 541-687-4900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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