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General NPI Number Information
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NPI Number | 1760715312
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Entity Type | Individual
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Provider Name | LAURA L EPTON PA-C
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Gender | Female
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Dates
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Enumeration Date | 09/15/2009
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Last Update Date | 12/09/2024
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Provider Practice Location Address
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Address Line | 9701 SW BARNES RD STE 150
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City | PORTLAND
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State | OR
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Zip | 97225-6689
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Country | US
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Telephone | 503-734-3535
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Fax | 503-734-3530
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Provider Business Mailing Address
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Address Line | 7650 SW BEVELAND RD STE 200
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City | PORTLAND
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State | OR
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Zip | 97223-8692
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Country | US
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Telephone | 503-601-3615
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Fax | 503-646-1683
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA60108219
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | PA166658
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License Number State | OR
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