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General NPI Number Information
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NPI Number | 1477527786
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Entity Type | Organization
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Legal Business Name | OREGON ANESTHESIOLOGY GROUP PC
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Dates
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Enumeration Date | 02/14/2006
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Last Update Date | 10/27/2025
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Provider Practice Location Address
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Address Line | 707 SW WASHINGTON ST SUITE 700
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City | PORTLAND
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State | OR
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Zip | 97205-3536
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Country | US
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Telephone | 503-299-9906
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Fax | 503-225-9002
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Provider Business Mailing Address
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Address Line | PO BOX 35147 #1801
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City | PORTLAND
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State | OR
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Zip | 98124-5147
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Country | US
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Telephone | 503-299-9906
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Fax | 503-225-9002
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | LORISSA ADDABBO
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Credential |
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Telephone | 503-299-9906
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207LA0401X
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Taxonomy Name | Addiction Medicine (Anesthesiology) Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207LC0200X
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Taxonomy Name | Critical Care Medicine (Anesthesiology) Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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