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General NPI Number Information
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NPI Number | 1801250436
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Entity Type | Organization
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Legal Business Name | JOIA WOMEN'S HEALTHCARE
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Dates
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Enumeration Date | 04/10/2016
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 2332 NW IRVING ST
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City | PORTLAND
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State | OR
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Zip | 97210-3225
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Country | US
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Telephone | 503-847-9956
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Fax |
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Provider Business Mailing Address
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Address Line | 1500 SW 5TH AVE UNIT 502
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City | PORTLAND
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State | OR
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Zip | 97201-5419
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Country | US
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Telephone | 503-998-4383
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. TUESDAY PEARSON
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Credential | DO
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Telephone | 503-998-4383
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 162069
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License Number State | OR
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