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General NPI Number Information
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NPI Number | 1801724687
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Entity Type | Individual
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Provider Name | ERICK SEVERO ALVARADO PT. DPT
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Gender | Male
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Dates
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Enumeration Date | 05/12/2026
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Last Update Date | 05/12/2026
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Provider Practice Location Address
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Address Line | 9700 SW CAPITOL HWY STE 140
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City | PORTLAND
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State | OR
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Zip | 97219-5274
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Country | US
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Telephone | 503-244-6232
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Fax | 503-244-7410
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Provider Business Mailing Address
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Address Line | 444 S BOUNDARY ST APT 221
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City | PORTLAND
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State | OR
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Zip | 97239-8507
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Country | US
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Telephone |
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 66083
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License Number State | OR
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