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General NPI Number Information
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NPI Number | 1639311681
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Entity Type | Individual
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Provider Name | CESAREO AMADEO URBANO TONGCO II M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/06/2009
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Last Update Date | 09/08/2025
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Provider Practice Location Address
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Address Line | 4855 SW WESTERN AVE
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City | BEAVERTON
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State | OR
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Zip | 97005-3460
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Country | US
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Telephone | 800-813-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 500 NE MULTNOMAH ST STE 100
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City | PORTLAND
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State | OR
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Zip | 97232-2031
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Country | US
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Telephone | 800-813-2000
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Fax | 855-524-5255
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD177267
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 35096724
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 207QS0010X
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Taxonomy Name | Sports Medicine (Family Medicine) Physician
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License Number | MD60665893
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License Number State | WA
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Taxonomy #4
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Taxonomy Code | 207QS0010X
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Taxonomy Name | Sports Medicine (Family Medicine) Physician
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License Number | 4301093075
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License Number State | MI
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Taxonomy #5
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Taxonomy Code | 207QS0010X
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Taxonomy Name | Sports Medicine (Family Medicine) Physician
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License Number | MD177267
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License Number State | OR
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Taxonomy #6
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD60665893
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License Number State | WA
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