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NPI 1861647299

NPI 1861647299 : SARAH J SCHLAMP LMT : TIGARD, OR

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General NPI Number Information
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    NPI Number           |    1861647299
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    Entity Type          |    Individual 
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    Provider Name        |    SARAH J SCHLAMP LMT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    11/26/2008
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    Last Update Date     |    09/03/2009
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Provider Practice Location Address
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    Address Line         |    11545 SW DURHAM RD STE B9 
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    City                 |    TIGARD
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    State                |    OR
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    Zip                  |    97224-3473
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    Country              |    US
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    Telephone            |    503-639-0078
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    716 MAGNOLIA ST 
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    City                 |    OREGON CITY
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    State                |    OR
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    Zip                  |    97045-2755
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    Country              |    US
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    Telephone            |    503-723-0088
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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        |    225700000X
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    Taxonomy Name        |    Massage Therapist
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    License Number       |    15785
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    License Number State |    OR
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