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1811608490 NPI number — MALGORZATA PTAK ND

NPI Number: 1811608490
Health Care Provider/Practitioner: MALGORZATA PTAK ND

Information about “1811608490” NPI (MALGORZATA PTAK ND) exists in 1811608490 in HTML format HTML  |  1811608490 in plain Text format TXT  |  1811608490 in PDF (Portable Document Format) PDF  |  1811608490 in an XML format XML  formats.

NPI Number : 1811608490 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1811608490",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "PTAK",
    "FirstName": "MALGORZATA",
    "MiddleName": null,
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "ND",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "PTAK",
    "OtherFirstName": "MARGARET",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "ND",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "8503 SE 57TH AVE UNIT B",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PORTLAND",
    "MailingAddressStateName": "OR",
    "MailingAddressPostalCode": "97206-0893",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "917-399-7063",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "525 N COLUMBIA RIVER HWY",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SAINT HELENS",
    "PracticeLocationAddressStateName": "OR",
    "PracticeLocationAddressPostalCode": "97051-1226",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "503-410-3134",
    "PracticeLocationAddressFaxNumber": "503-893-3118",
    "EnumerationDate": "12/06/2022",
    "LastUpdateDate": "12/15/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "175F00000X",
          "TaxonomyName": "Naturopath",
          "LicenseNumber": "4485",
          "LicenseNumberStateCode": "OR",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "171100000X",
          "TaxonomyName": "Acupuncturist",
          "LicenseNumber": "AC211757",
          "LicenseNumberStateCode": "OR",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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