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General NPI Number Information
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NPI Number | 1518812122
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Entity Type | Organization
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Legal Business Name | MY ONE PCP, LLC
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Dates
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Enumeration Date | 02/27/2026
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Last Update Date | 02/27/2026
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Provider Practice Location Address
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Address Line | 7001 SW HAMPTON STREET
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City | TIGARD
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State | OR
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Zip | 97223-8391
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Country | US
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Telephone | 503-664-1207
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Fax |
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Provider Business Mailing Address
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Address Line | 7001 SW HAMPTON STREET
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City | TIGARD
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State | OR
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Zip | 97223-8391
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/MEDICAL DIRECTOR
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Name | DR. ADAMA DIARRA
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Credential | D.O.
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Telephone | 503-664-1207
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2080B0002X
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Taxonomy Name | Pediatric Obesity 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 | 2083B0002X
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Taxonomy Name | Obesity Medicine (Preventive Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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