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NPI 1821151309

NPI 1821151309 : BILLIE LYNN CARTWRIGHT PA-C : BEND, OR

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General NPI Number Information
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    NPI Number           |    1821151309
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    Entity Type          |    Individual 
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    Provider Name        |    BILLIE LYNN CARTWRIGHT PA-C
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    12/18/2006
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    Last Update Date     |    04/21/2025
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Provider Practice Location Address
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    Address Line         |    685 SE 3RD ST 
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    City                 |    BEND
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    State                |    OR
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    Zip                  |    97702-1754
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    Country              |    US
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    Telephone            |    541-686-9070
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    Fax                  |    541-312-4480
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Provider Business Mailing Address
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    Address Line         |    685 SE 3RD ST 
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    City                 |    BEND
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    State                |    OR
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    Zip                  |    97702-1754
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    Country              |    US
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    Telephone            |    541-686-9070
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    Fax                  |    541-312-4480
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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        |    2084A0401X
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    Taxonomy Name        |    Addiction Medicine (Psychiatry & Neurology) Physician
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    License Number       |    153507
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    License Number State |    OR
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Taxonomy #2
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    Taxonomy Code        |    363A00000X
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    Taxonomy Name        |    Physician Assistant
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    License Number       |    001000727
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    License Number State |    NC
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Taxonomy #3
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    Taxonomy Code        |    363A00000X
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    Taxonomy Name        |    Physician Assistant
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    License Number       |    PA55546
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    License Number State |    CA
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Taxonomy #4
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    Taxonomy Code        |    363A00000X
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    Taxonomy Name        |    Physician Assistant
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    License Number       |    PA 153507
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    License Number State |    OR
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Taxonomy #5
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    Taxonomy Code        |    363A00000X
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    Taxonomy Name        |    Physician Assistant
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    License Number       |    PA60026556
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    License Number State |    WA
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