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General NPI Number Information
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NPI Number | 1497639728
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Entity Type | Individual
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Provider Name | MEGAN HUMPHREY LMT
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Gender | Female
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Dates
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Enumeration Date | 07/31/2025
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Last Update Date | 08/04/2025
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Provider Practice Location Address
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Address Line | 7318 N LEAVITT AVE
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City | PORTLAND
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State | OR
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Zip | 97203-4840
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Country | US
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Telephone | 503-567-5880
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Fax |
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Provider Business Mailing Address
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Address Line | 7126 N VINCENT AVE
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City | PORTLAND
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State | OR
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Zip | 97217-5848
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Country | US
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Telephone | 951-218-2938
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 29150
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License Number State | OR
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