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General NPI Number Information
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NPI Number | 1497062053
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Entity Type | Individual
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Provider Name | CHRISTINE E MAYO POWERS PHARM D
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Gender | Female
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Dates
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Enumeration Date | 09/02/2010
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Last Update Date | 05/30/2025
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Provider Practice Location Address
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Address Line | 3601 SW MURRAY BLVD
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City | BEAVERTON
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State | OR
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Zip | 97005-2354
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Country | US
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Telephone | 800-878-4445
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Fax |
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Provider Business Mailing Address
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Address Line | 8617 NW WOOD AVE
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City | PORTLAND
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State | OR
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Zip | 97231-1229
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Country | US
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Telephone | 503-956-6721
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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 | 1835N1003X
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Taxonomy Name | Nutrition Support Pharmacist
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License Number | RPH-0010673
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 1835P1200X
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Taxonomy Name | Pharmacotherapy Pharmacist
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License Number | RPH-0010673
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License Number State | OR
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