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General NPI Number Information
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NPI Number | 1851922082
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Entity Type | Individual
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Provider Name | MICHAEL P WOOLARD
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Gender | Male
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Dates
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Enumeration Date | 01/27/2020
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Last Update Date | 08/20/2025
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Provider Practice Location Address
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Address Line | 2875 NE STUCKI AVE
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City | HILLSBORO
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State | OR
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Zip | 97124-5806
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Country | US
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Telephone | 800-813-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 500 NE MULTNOMAH ST STE 1000
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City | PORTLAND
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State | OR
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Zip | 97232-2023
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Country | US
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Telephone | 800-813-2000
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Fax | 855-524-5255
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 10016614
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | APRN11005415
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License Number State | FL
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