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General NPI Number Information
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NPI Number | 1497606727
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Entity Type | Organization
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Legal Business Name | OREGON ERRATICS LLC
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Dates
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Enumeration Date | 02/04/2026
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Last Update Date | 02/17/2026
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Provider Practice Location Address
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Address Line | 38181 GILKEY RD
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City | SCIO
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State | OR
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Zip | 97374-9705
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Country | US
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Telephone | 503-260-2531
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 4
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City | CRABTREE
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State | OR
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Zip | 97335-0004
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Country | US
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Telephone | 503-260-2531
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. DAVID RYAN SIMMONS
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Credential | MD, FASAM, QMHP
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Telephone | 503-260-2531
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine 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 | 207QA0401X
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Taxonomy Name | Addiction Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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