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General NPI Number Information
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NPI Number | 1790593127
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Entity Type | Individual
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Provider Name | JACQUELINE OROPEZA-CASTRO
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Gender | Female
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Dates
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Enumeration Date | 12/18/2024
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Last Update Date | 12/18/2024
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Provider Practice Location Address
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Address Line | 11782 SW BARNES RD
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City | PORTLAND
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State | OR
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Zip | 97225-5914
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Country | US
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Telephone | 503-214-5200
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Fax |
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Provider Business Mailing Address
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Address Line | 3195 MAPLE RD
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City | HOOD RIVER
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State | OR
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Zip | 97031-6407
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Country | US
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Telephone | 541-490-1399
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | AT-AT-10244238
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License Number State | OR
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