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General NPI Number Information
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NPI Number | 1588813158
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Entity Type | Organization
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Legal Business Name | OREGADO VENTURES, INC.
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Dates
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Enumeration Date | 09/18/2008
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Last Update Date | 09/18/2008
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Provider Practice Location Address
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Address Line | 5935 GARDEN WAY NE
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City | SILVERTON
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State | OR
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Zip | 97381-9817
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Country | US
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Telephone | 503-400-2924
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Fax | 503-873-2971
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Provider Business Mailing Address
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Address Line | 5935 GARDEN WAY NE
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City | SILVERTON
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State | OR
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Zip | 97381-9817
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Country | US
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Telephone | 503-400-2924
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Fax | 503-873-2971
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Authorized Official
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Title or Position | PRESIDENT
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Name | DAVID J. YOAST
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Credential |
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Telephone | 503-400-2924
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | CS029015
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License Number State | MA
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