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General NPI Number Information
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NPI Number | 1811447550
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Entity Type | Individual
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Provider Name | JAMI ELIZABETH HEYTING ND
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Gender | Female
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Dates
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Enumeration Date | 10/06/2016
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Last Update Date | 03/21/2023
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Provider Practice Location Address
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Address Line | 818 SW FOREST AVE
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City | REDMOND
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State | OR
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Zip | 97756-2737
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Country | US
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Telephone | 541-316-0468
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Fax | 833-643-0179
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Provider Business Mailing Address
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Address Line | 2130 SW CANYON DR APT D
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City | REDMOND
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State | OR
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Zip | 97756-0328
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Country | US
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Telephone | 503-880-5295
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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 | 175F00000X
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Taxonomy Name | Naturopath
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License Number | 4026
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License Number State | OR
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