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General NPI Number Information
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NPI Number | 1831048248
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Entity Type | Individual
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Provider Name | LISA RENEE NEAL LPN
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Gender | Female
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Dates
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Enumeration Date | 01/27/2026
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Last Update Date | 01/27/2026
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Provider Practice Location Address
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Address Line | 6601 NE 78TH CT STE A3
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City | PORTLAND
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State | OR
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Zip | 97218-2823
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Country | US
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Telephone | 503-252-3949
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Fax | 503-252-4027
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Provider Business Mailing Address
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Address Line | 2135 NANDO ST NE
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City | SALEM
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State | OR
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Zip | 97305-1875
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Country | US
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Telephone | 503-252-3934
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Fax | 503-252-4027
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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 | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | 098003045LPN
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License Number State | OR
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