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General NPI Number Information
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NPI Number | 1790472728
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Entity Type | Organization
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Legal Business Name | HOPE HEALTHWORKS
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Dates
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Enumeration Date | 04/19/2023
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Last Update Date | 04/23/2024
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Provider Practice Location Address
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Address Line | 10260 SW GREENBURG RD STE 400
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City | PORTLAND
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State | OR
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Zip | 97223-5514
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Country | US
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Telephone | 503-487-5954
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Fax | 503-386-3324
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Provider Business Mailing Address
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Address Line | 10260 SW GREENBURG RD STE 400
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City | PORTLAND
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State | OR
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Zip | 97223-5514
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Country | US
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Telephone | 503-487-5954
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Fax | 503-386-3324
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Authorized Official
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Title or Position | OWNER
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Name | JOAN ILI
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Credential | NP
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Telephone | 503-487-5954
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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