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General NPI Number Information
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NPI Number | 1578819231
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Entity Type | Individual
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Provider Name | LUKE OSTBY PHARM.D
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Gender | Male
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Dates
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Enumeration Date | 07/31/2012
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Last Update Date | 10/17/2012
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Provider Practice Location Address
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Address Line | 100 SW MARKET STREET, MS 2P
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City | PORTLAND
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State | OR
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Zip | 97201
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Country | US
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Telephone | 503-412-5607
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Fax |
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Provider Business Mailing Address
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Address Line | 100 SW MARKET STREET, MS 2P
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City | PORTLAND
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State | OR
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Zip | 97201
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Country | US
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Telephone | 503-412-5607
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RPH0011338
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | S013067
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 5479
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License Number State | MT
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Taxonomy #4
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PH60013276
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License Number State | WA
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Taxonomy #5
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 13511
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License Number State | NE
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