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General NPI Number Information
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NPI Number | 1780009084
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Entity Type | Individual
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Provider Name | CHRISTINE R PEARSON L. AC.
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Gender | Female
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Dates
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Enumeration Date | 02/23/2014
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Last Update Date | 04/24/2024
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Provider Practice Location Address
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Address Line | 5329 NE MARTIN LUTHER KING BLVD FL 5
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City | PORTLAND
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State | OR
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Zip | 97211-3237
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Country | US
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Telephone | 503-988-5182
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Fax | 971-347-2223
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Provider Business Mailing Address
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Address Line | 619 NW 6TH AVE FL 5
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City | PORTLAND
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State | OR
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Zip | 97209-3991
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Country | US
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Telephone | 503-988-5183
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AC163626
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License Number State | OR
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