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General NPI Number Information
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NPI Number | 1861551616
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Entity Type | Organization
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Legal Business Name | PATRICK L HANLEY MD PC
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Dates
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Enumeration Date | 12/07/2006
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Last Update Date | 10/19/2009
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Provider Practice Location Address
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Address Line | 10000 SE MAIN ST SUITE 327
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City | PORTLAND
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State | OR
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Zip | 97216-2448
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Country | US
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Telephone | 503-256-5866
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Fax | 503-254-0655
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Provider Business Mailing Address
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Address Line | 10000 SE MAIN ST SUITE 327
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City | PORTLAND
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State | OR
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Zip | 97216-2448
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Country | US
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Telephone | 503-256-5866
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Fax | 503-254-0655
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. CHERYL A SUKAU
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Credential |
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Telephone | 503-256-5866
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 0397507-8
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License Number State | OR
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