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General NPI Number Information
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NPI Number | 1659898542
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Entity Type | Individual
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Provider Name | YVAN THI TRINH PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 08/23/2017
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Last Update Date | 06/15/2020
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Provider Practice Location Address
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Address Line | 16303 NE 15TH ST STE A
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City | VANCOUVER
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State | WA
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Zip | 98684-4189
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Country | US
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Telephone | 503-888-6353
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Fax | 503-926-6397
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Provider Business Mailing Address
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Address Line | 7324 SW VIRGINIA AVE
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City | PORTLAND
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State | OR
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Zip | 97219-3039
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Country | US
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Telephone | 503-888-6353
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Fax | 503-926-6397
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 62420
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License Number State | OR
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