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General NPI Number Information
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NPI Number | 1740696160
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Entity Type | Individual
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Provider Name | JAMIE MICHAEL OWENS FNP-C
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Gender | Male
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Dates
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Enumeration Date | 07/07/2014
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Last Update Date | 10/16/2025
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Provider Practice Location Address
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Address Line | 20 N SKIDMORE ST
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City | PORTLAND
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State | OR
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Zip | 97217-3058
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Country | US
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Telephone | 888-663-6331
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Fax | 415-252-7176
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Provider Business Mailing Address
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Address Line | 1 EMBARCADERO CTR STE 1900
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City | SAN FRANCISCO
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State | CA
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Zip | 94111-3723
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Country | US
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Telephone | 415-658-6791
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN60376459
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 339301
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 201701961NP-PP
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License Number State | OR
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Taxonomy #4
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Taxonomy Code | 163WG0000X
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Taxonomy Name | General Practice Registered Nurse
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License Number | 694998
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License Number State | NY
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