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General NPI Number Information
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NPI Number | 1710363833
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Entity Type | Individual
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Provider Name | BRANDY HIRSCH DPT
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Gender | Female
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Dates
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Enumeration Date | 07/31/2015
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Last Update Date | 07/29/2025
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Provider Practice Location Address
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Address Line | 905 SE ANKENY ST
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City | PORTLAND
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State | OR
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Zip | 97214-1349
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Country | US
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Telephone | 971-236-7610
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Fax |
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Provider Business Mailing Address
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Address Line | 5441 S MACADAM AVE STE N
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City | PORTLAND
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State | OR
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Zip | 97239-6106
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Country | US
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Telephone | 785-640-7006
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Fax |
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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 | 006655
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 63609
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License Number State | OR
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