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General NPI Number Information
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NPI Number | 1639082217
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Entity Type | Organization
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Legal Business Name | LEGACY EMANUEL HOSPITAL & HEALTH CENTER
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Dates
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Enumeration Date | 09/24/2026
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Last Update Date | 09/24/2026
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Provider Practice Location Address
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Address Line | 1225 NE 2ND AVE
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City | PORTLAND
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State | OR
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Zip | 97232-2003
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Country | US
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Telephone | 503-413-2200
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Fax |
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Provider Business Mailing Address
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Address Line | 1225 NE 2ND AVE
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City | PORTLAND
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State | OR
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Zip | 97232-2003
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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 | SR PBS ANALYST
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Name | CHERI BERG
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Credential |
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Telephone | 503-413-3958
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number |
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License Number State |
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