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General NPI Number Information
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NPI Number | 1861350332
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Entity Type | Individual
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Provider Name | MICHKO NAMPER
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Gender | Female
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Dates
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Enumeration Date | 01/13/2026
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Last Update Date | 01/13/2026
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Provider Practice Location Address
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Address Line | 11619 ISLAND AVE
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City | ISLAND CITY
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State | OR
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Zip | 97850-8459
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Country | US
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Telephone | 541-624-4988
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Fax |
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Provider Business Mailing Address
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Address Line | 11619 ISLAND AVE
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City | ISLAND CITY
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State | OR
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Zip | 97850-8459
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Country | US
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Telephone |
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Fax |
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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 | 156FX1800X
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Taxonomy Name | Optician
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License Number | 252576
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License Number State | OR
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