{
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"FirstLineMailingAddress": "4185 RIVER RD N",
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"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "503-375-2206",
"MailingAddressFaxNumber": "503-375-8410",
"FirstLinePracticeLocationAddress": "4185 RIVER RD N",
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"EnumerationDate": "01/28/2025",
"LastUpdateDate": "01/28/2025",
"NPIDeactivationReasonCode": null,
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"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "OHARA",
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"Taxonomies": {
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"PrimaryTaxonomySwitch": "Y"
}
},
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}
}