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General NPI Number Information
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NPI Number | 1598927352
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Entity Type | Individual
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Provider Name | JEFFREY MICHAEL MARKOVICS OTR/L, MAOT
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Gender | Male
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Dates
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Enumeration Date | 07/01/2008
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Last Update Date | 03/08/2022
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Provider Practice Location Address
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Address Line | 7101 NE 137TH AVE
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City | VANCOUVER
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State | WA
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Zip | 98682-4933
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Country | US
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Telephone | 360-944-2730
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Fax |
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Provider Business Mailing Address
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Address Line | 4128 SE RAMONA ST
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City | PORTLAND
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State | OR
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Zip | 97202-7544
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Country | US
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Telephone | 612-386-6729
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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