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General NPI Number Information
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NPI Number | 1508912478
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Entity Type | Individual
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Provider Name | JACQUELINE FIGUEROA WEBB C-FNP
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Gender | Female
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Dates
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Enumeration Date | 01/25/2007
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Last Update Date | 06/07/2021
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Provider Practice Location Address
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Address Line | 421 SW OAK ST STE. 210
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City | PORTLAND
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State | OR
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Zip | 97204-1817
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Country | US
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Telephone | 503-988-7468
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Fax | 503-988-3015
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Provider Business Mailing Address
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Address Line | 3181 SW SAM JACKSON PARK RD
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City | PORTLAND
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State | OR
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Zip | 97239-3011
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Country | US
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Telephone | 503-494-8562
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Fax | 503-418-5505
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 200950068NP
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License Number State | OR
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