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General NPI Number Information
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NPI Number | 1669424354
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Entity Type | Organization
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Legal Business Name | SILVERTON HEALTH
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Dates
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Enumeration Date | 05/17/2006
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Last Update Date | 02/06/2025
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Provider Practice Location Address
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Address Line | 342 FAIRVIEW ST
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City | SILVERTON
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State | OR
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Zip | 97381-1917
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Country | US
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Telephone | 503-873-1500
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Fax | 503-873-1534
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Provider Business Mailing Address
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Address Line | PO BOX 3417
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City | PORTLAND
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State | OR
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Zip | 97208-3417
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Country | US
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Telephone | 503-413-4048
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Fax | 503-413-4449
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Authorized Official
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Title or Position | CFO
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Name | SARAH JENSEN
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Credential |
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Telephone | 503-415-5145
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 140030
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 14 0030
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License Number State | OR
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