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General NPI Number Information
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NPI Number | 1851295000
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Entity Type | Organization
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Legal Business Name | POCKETRN NURSE CARE GROUP OF OREGON PC
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Dates
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Enumeration Date | 10/02/2026
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Last Update Date | 10/02/2026
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Provider Practice Location Address
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Address Line | 7185 SW SANDBURG ST STE 110
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City | PORTLAND
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State | OR
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Zip | 97223-8090
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Country | US
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Telephone | 808-230-1795
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Fax |
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Provider Business Mailing Address
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Address Line | 7185 SW SANDBURG ST STE 110
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City | PORTLAND
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State | OR
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Zip | 97223-8090
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Country | US
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Telephone | 808-230-1795
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. MIRINI KIM
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Credential |
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Telephone | 847-287-2826
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State | NULL
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Taxonomy #2
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Taxonomy Code | 364S00000X
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Taxonomy Name | Clinical Nurse Specialist
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License Number |
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License Number State | NULL
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Taxonomy #3
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State | NULL
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Taxonomy #4
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number |
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License Number State | NULL
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Taxonomy #5
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number |
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License Number State | NULL
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Taxonomy #6
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Taxonomy Code | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number |
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License Number State | NULL
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Taxonomy #7
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State | NULL
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Taxonomy #8
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State | NULL
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Taxonomy #9
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State | NULL
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Taxonomy #10
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State | NULL
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Taxonomy #11
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State | NULL
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