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General NPI Number Information
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NPI Number | 1528187861
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Entity Type | Organization
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Legal Business Name | INTEGRETICS, LLC
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Dates
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Enumeration Date | 03/28/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1939 NE BROADWAY ST SUITE B
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City | PORTLAND
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State | OR
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Zip | 97232-1583
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Country | US
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Telephone | 503-891-9654
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Fax | 503-281-0008
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Provider Business Mailing Address
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Address Line | 1939 NE BROADWAY ST SUITE B
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City | PORTLAND
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State | OR
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Zip | 97232-1583
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Country | US
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Telephone | 503-891-9654
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Fax | 503-281-0008
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Authorized Official
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Title or Position | OWNER
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Name | MS. ARIANA R ORTON
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Credential | LMT, NCMMT
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Telephone | 503-891-9654
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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 | 7207
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License Number State | OR
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