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General NPI Number Information
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NPI Number | 1659829836
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Entity Type | Organization
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Legal Business Name | H&S PEARL, LLC
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Dates
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Enumeration Date | 09/15/2016
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Last Update Date | 09/15/2016
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Provider Practice Location Address
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Address Line | 25 NW 23RD PL, SUITE 7
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City | PORTLAND
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State | OR
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Zip | 97210
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Country | US
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Telephone | 503-488-6770
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Fax |
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Provider Business Mailing Address
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Address Line | 12807 NW HARTFORD ST
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City | PORTLAND
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State | OR
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Zip | 97229
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Country | US
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Telephone | 503-327-9391
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Fax |
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Authorized Official
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Title or Position | CO-OWNER
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Name | GUILLERMO ORTEGA
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Credential |
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Telephone | 503-327-9391
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number |
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License Number State |
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