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General NPI Number Information
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NPI Number | 1497863104
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Entity Type | Organization
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Legal Business Name | PACIFIC UNIVERSITY
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Dates
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Enumeration Date | 08/25/2006
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Last Update Date | 11/09/2023
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Provider Practice Location Address
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Address Line | 511 SW 10TH SUITE 500
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City | PORTLAND
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State | OR
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Zip | 97205
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Country | US
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Telephone | 503-352-2500
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Fax | 503-352-2523
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Provider Business Mailing Address
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Address Line | 2043 COLLEGE WAY BLDG 2221
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City | FOREST GROVE
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State | OR
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Zip | 97116-1756
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Country | US
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Telephone | 503-352-2500
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Fax | 971-226-2964
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Authorized Official
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Title or Position | DIRECTOR OF FINANCE AND ACCOUNTING
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Name | ALECIA NEUMAN
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Credential |
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Telephone | 503-352-2951
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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