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General NPI Number Information
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NPI Number | 1750179172
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Entity Type | Individual
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Provider Name | TYLER SCHMIDT RN
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Gender | Male
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Dates
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Enumeration Date | 04/26/2025
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Last Update Date | 10/10/2025
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Provider Practice Location Address
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Address Line | 7815 N HUDSON ST
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City | PORTLAND
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State | OR
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Zip | 97203-3116
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Country | US
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Telephone | 509-991-7250
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Fax |
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Provider Business Mailing Address
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Address Line | 7815 N HUDSON ST
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City | PORTLAND
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State | OR
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Zip | 97203-3116
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Country | US
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Telephone | 509-991-7250
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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 | 163WG0000X
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Taxonomy Name | General Practice Registered Nurse
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License Number | RN61302240
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 202213493RN
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License Number State | OR
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