{
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "COLUMBIA LUTHERAN CHARITIES",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
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"OtherLastName": null,
"OtherFirstName": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "2111 EXCHANGE ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "ASTORIA",
"MailingAddressStateName": "OR",
"MailingAddressPostalCode": "97103-3329",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "503-325-4321",
"MailingAddressFaxNumber": "503-338-7586",
"FirstLinePracticeLocationAddress": "2111 EXCHANGE ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "ASTORIA",
"PracticeLocationAddressStateName": "OR",
"PracticeLocationAddressPostalCode": "97103-3329",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "503-325-4321",
"PracticeLocationAddressFaxNumber": "503-338-7586",
"EnumerationDate": "10/12/2012",
"LastUpdateDate": "10/12/2012",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "RIVERS",
"AuthorizedOfficialFirstName": "WILLIAM",
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"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "503-338-7505",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "282E00000X",
"TaxonomyName": "Long Term Care Hospital",
"LicenseNumber": "14-1146",
"LicenseNumberStateCode": "OR",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}