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General NPI Number Information
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NPI Number | 1750743290
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Entity Type | Organization
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Legal Business Name | RURAL HEALTH COLLECTIVE
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Dates
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Enumeration Date | 03/23/2016
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Last Update Date | 07/14/2022
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Provider Practice Location Address
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Address Line | 1340 SW BERTHA BLVD STE 200
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City | PORTLAND
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State | OR
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Zip | 97219-2172
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Country | US
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Telephone | 503-395-2500
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Fax | 844-811-6370
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Provider Business Mailing Address
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Address Line | 7738 SW 31ST AVE
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City | PORTLAND
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State | OR
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Zip | 97219-2420
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Country | US
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Telephone | 503-395-2500
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Fax | 844-811-6370
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Authorized Official
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Title or Position | OWNER
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Name | DR. GABRIELLE CARTER
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Credential | ND
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Telephone | 503-395-2500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 175F00000X
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Taxonomy Name | Naturopath
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 175L00000X
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Taxonomy Name | Homeopath
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 175F00000X
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Taxonomy Name | Naturopath
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License Number | 3015
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License Number State | OR
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