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General NPI Number Information
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NPI Number | 1578026688
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Entity Type | Individual
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Provider Name | STEPHANIE BUENDIA
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Gender | Female
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Dates
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Enumeration Date | 04/08/2019
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Last Update Date | 06/04/2025
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Provider Practice Location Address
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Address Line | 10180 SE SUNNYSIDE RD
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City | CLACKAMAS
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State | OR
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Zip | 97015-8970
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Country | US
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Telephone | 800-813-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 500 NE MULTNOMAH ST FL 11
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City | PORTLAND
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State | OR
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Zip | 97232-2023
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Country | US
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Telephone | 800-813-2000
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 120223
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License Number State | AR
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | RNA213041
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License Number State | ME
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Taxonomy #3
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 10019195
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License Number State | OR
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