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General NPI Number Information
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NPI Number | 1629023445
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Entity Type | Organization
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Legal Business Name | CASCADIA FAMILY MEDICINE, LLC
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Dates
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Enumeration Date | 05/23/2006
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Last Update Date | 02/09/2017
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Provider Practice Location Address
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Address Line | 919 NW 122ND ST
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City | SEATTLE
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State | WA
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Zip | 98177-4324
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Country | US
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Telephone | 541-797-2102
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Fax |
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Provider Business Mailing Address
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Address Line | 620 FERNDALE DR
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City | BIGFORK
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State | MT
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Zip | 59911
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Country | US
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Telephone | 503-330-5130
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Fax |
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. JAZPER E TORRES
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Credential | N.D.,D.C.
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Telephone | 503-330-5130
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 5076
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 175F00000X
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Taxonomy Name | Naturopath
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License Number | NT 60463323
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License Number State | WA
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