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General NPI Number Information
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NPI Number | 1740548809
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Entity Type | Individual
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Provider Name | AMY STERLING
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Gender | Female
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Dates
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Enumeration Date | 04/26/2012
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Last Update Date | 03/01/2025
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Provider Practice Location Address
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Address Line | 4054 RIVER RD N
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City | KEIZER
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State | OR
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Zip | 97303-5501
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Country | US
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Telephone | 503-383-1411
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Fax |
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Provider Business Mailing Address
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Address Line | 854 GARLOCK ST S
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City | SALEM
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State | OR
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Zip | 97302-6021
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Country | US
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Telephone | 503-625-0100
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 12821
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License Number State | OR
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