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General NPI Number Information
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NPI Number | 1619867835
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Entity Type | Organization
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Legal Business Name | AMNS OREGON, LLC
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Dates
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Enumeration Date | 07/08/2025
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Last Update Date | 08/04/2025
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Provider Practice Location Address
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Address Line | 205 SE SPOKANE ST STE 300
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City | PORTLAND
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State | OR
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Zip | 97202-6487
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Country | US
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Telephone | 503-388-4255
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Fax | 503-608-4533
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Provider Business Mailing Address
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Address Line | 205 SE SPOKANE ST STE 300
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City | PORTLAND
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State | OR
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Zip | 97202-6487
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Country | US
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Telephone | 503-388-4255
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Fax | 503-608-4533
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Authorized Official
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Title or Position | CHIEF NUTRITION OFFICER
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Name | AMY MCCALLISTER
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Credential | RD
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Telephone | 623-399-6825
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number |
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License Number State |
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