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General NPI Number Information
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NPI Number | 1477590198
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Entity Type | Organization
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Legal Business Name | COMMONSPIRIT OREGON
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Dates
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Enumeration Date | 06/01/2006
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Last Update Date | 10/23/2025
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Provider Practice Location Address
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Address Line | 2700 NW STEWART PKWY
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City | ROSEBURG
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State | OR
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Zip | 97471-1281
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Country | US
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Telephone | 541-677-2458
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Fax |
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Provider Business Mailing Address
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Address Line | 2700 NW STEWART PKWY
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City | ROSEBURG
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State | OR
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Zip | 97471-1281
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Country | US
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Telephone | 541-677-2458
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Fax |
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Authorized Official
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Title or Position | MARKET VP OPERATIONAL FINANCE
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Name | JAMIE C POINDEXTER
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Credential |
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Telephone | 541-677-2458
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 273R00000X
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Taxonomy Name | Psychiatric Hospital Unit
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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 | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 141133
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License Number State | OR
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