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General NPI Number Information
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NPI Number | 1538778980
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Entity Type | Individual
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Provider Name | KARINA KREIDER PT
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Gender | Female
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Dates
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Enumeration Date | 07/30/2020
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Last Update Date | 07/30/2020
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Provider Practice Location Address
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Address Line | 3100 E HAWORTH AVE STE 270
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City | NEWBERG
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State | OR
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Zip | 97132-2197
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Country | US
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Telephone | 503-538-4805
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Fax |
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Provider Business Mailing Address
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Address Line | 16083 SW UPPER BOONES FERRY RD STE 300
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City | TIGARD
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State | OR
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Zip | 97224-7736
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Country | US
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Telephone | 503-443-6156
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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