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General NPI Number Information
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NPI Number | 1679414833
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Entity Type | Organization
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Legal Business Name | INTEGRATE THIS LLC
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Dates
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Enumeration Date | 04/02/2026
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Last Update Date | 04/02/2026
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Provider Practice Location Address
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Address Line | 819 SE MORRISON ST STE 140
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City | PORTLAND
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State | OR
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Zip | 97214-6309
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Country | US
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Telephone | 971-366-2564
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Fax |
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Provider Business Mailing Address
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Address Line | 116 SE 72ND AVE
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City | PORTLAND
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State | OR
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Zip | 97215-1414
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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 | PRIMARY CARE PROVIDER
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Name | SARA M NELSON
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Credential | FNP-C
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Telephone | 765-212-7365
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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