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General NPI Number Information
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NPI Number | 1811373822
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Entity Type | Individual
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Provider Name | MATTHEW BENJAMIN HENDRIX PHARMD
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Gender | Male
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Dates
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Enumeration Date | 08/03/2015
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Last Update Date | 05/20/2025
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Provider Practice Location Address
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Address Line | 2875 NE STUCKI AVE
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City | HILLSBORO
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State | OR
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Zip | 97124-5806
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Country | US
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Telephone | 971-310-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 101 W 8TH AVE P.O. BOX 2555
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City | SPOKANE
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State | WA
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Zip | 99204-2307
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PH60483812
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RPH0015131
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License Number State | OR
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