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General NPI Number Information
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NPI Number | 1881141661
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Entity Type | Individual
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Provider Name | BETHANY NGUYEN DPT
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Gender | Female
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Dates
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Enumeration Date | 09/08/2016
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Last Update Date | 02/19/2022
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Provider Practice Location Address
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Address Line | 448 N WERTH BLVD
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City | NEWBERG
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State | OR
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Zip | 97132-7500
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Country | US
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Telephone | 253-426-5780
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Fax |
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Provider Business Mailing Address
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Address Line | 15540 SW IVORY ST
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City | BEAVERTON
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State | OR
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Zip | 97007-9453
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Country | US
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Telephone | 253-426-5780
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 61880
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 60651347
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License Number State | WA
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