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General NPI Number Information
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NPI Number | 1770439937
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Entity Type | Individual
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Provider Name | MR. TIMOTHY SCOTT HOPSON
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Gender | Male
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Dates
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Enumeration Date | 03/09/2026
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Last Update Date | 03/09/2026
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Provider Practice Location Address
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Address Line | 1100 JACKSON ST SE
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City | ALBANY
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State | OR
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Zip | 97322-3244
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Country | US
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Telephone | 541-967-8545
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Fax |
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Provider Business Mailing Address
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Address Line | 2532 SANTIAM HWY SE # 212
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City | ALBANY
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State | OR
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Zip | 97322-5211
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Country | US
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Telephone | 458-278-2172
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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 | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number | 26-CRM-5222
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License Number State | OR
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