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General NPI Number Information
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NPI Number | 1598677866
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Entity Type | Individual
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Provider Name | NORBERT PETE CONTRERAS
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Gender | Male
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Dates
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Enumeration Date | 09/21/2026
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Last Update Date | 09/21/2026
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Provider Practice Location Address
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Address Line | 1621 NE 2ND AVE
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City | PORTLAND
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State | OR
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Zip | 97232-1134
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Country | US
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Telephone | 503-218-3711
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Fax |
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Provider Business Mailing Address
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Address Line | 16000 SE POWELL BLVD UNIT 34
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City | PORTLAND
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State | OR
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Zip | 97236-1781
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Country | US
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Telephone |
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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 | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number | 26-CRM-5843
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License Number State | OR
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