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General NPI Number Information
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NPI Number | 1528835006
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Entity Type | Individual
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Provider Name | KENDALL WELCH ND
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Gender | Female
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Dates
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Enumeration Date | 12/05/2023
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Last Update Date | 12/05/2023
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Provider Practice Location Address
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Address Line | 1306 NW HOYT ST STE 302
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City | PORTLAND
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State | OR
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Zip | 97209-2786
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Country | US
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Telephone | 503-208-6479
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Fax |
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Provider Business Mailing Address
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Address Line | 859 SW BROADWAY DR APT 41
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City | PORTLAND
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State | OR
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Zip | 97201-6717
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Country | US
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Telephone | 831-212-3778
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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 | 175F00000X
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Taxonomy Name | Naturopath
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License Number | 5030
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License Number State | OR
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