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General NPI Number Information
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NPI Number | 1770307142
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Entity Type | Organization
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Legal Business Name | NATURAL HEALING NORTHWEST
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Dates
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Enumeration Date | 11/13/2024
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Last Update Date | 11/13/2024
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Provider Practice Location Address
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Address Line | 707 7TH ST
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City | OREGON CITY
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State | OR
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Zip | 97045-2346
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Country | US
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Telephone | 503-545-8303
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Fax |
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Provider Business Mailing Address
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Address Line | 15915 S BOULDER DR
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City | MULINO
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State | OR
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Zip | 97042-9755
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Country | US
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Telephone | 503-545-8303
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ISAAC SLAUGHTER
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Credential | LMT
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Telephone | 503-545-8303
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number |
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License Number State |
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