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General NPI Number Information
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NPI Number | 1588653737
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Entity Type | Individual
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Provider Name | EUGENE LESTER BORKAN MD
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Gender | Male
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Dates
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Enumeration Date | 10/20/2005
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Last Update Date | 09/23/2024
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Provider Practice Location Address
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Address Line | 13500 SE 7TH ST
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City | VANCOUVER
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State | WA
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Zip | 98683-6909
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Country | US
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Telephone | 360-699-2244
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Fax | 360-699-1900
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Provider Business Mailing Address
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Address Line | 1804 NW 34TH AVE
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City | PORTLAND
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State | OR
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Zip | 97210-1207
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Country | US
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Telephone | 503-964-8922
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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 | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | MD00046276
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | MD08296
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License Number State | OR
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