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General NPI Number Information
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NPI Number | 1730599564
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Entity Type | Individual
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Provider Name | TERESA ERIN BAIR D.O.
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Gender | Female
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Dates
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Enumeration Date | 05/01/2014
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Last Update Date | 07/31/2024
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Provider Practice Location Address
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Address Line | 4275 NE HALSEY ST
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City | PORTLAND
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State | OR
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Zip | 97213-1540
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Country | US
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Telephone | 503-662-7226
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Fax | 503-676-5662
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Provider Business Mailing Address
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Address Line | 4275 NE HALSEY ST
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City | PORTLAND
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State | OR
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Zip | 97213-1540
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Country | US
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Telephone | 503-662-7226
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Fax | 503-676-5662
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | DO185316
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License Number State | OR
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