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General NPI Number Information
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NPI Number | 1881228849
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Entity Type | Individual
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Provider Name | DAMARIS ANDRADE PMHNP
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Gender | Female
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Dates
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Enumeration Date | 02/28/2020
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Last Update Date | 06/17/2022
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Provider Practice Location Address
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Address Line | 315 E MAIN ST STE 212
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City | HILLSBORO
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State | OR
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Zip | 97123-4173
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Country | US
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Telephone | 503-549-4010
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Fax |
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Provider Business Mailing Address
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Address Line | 315 E MAIN ST STE 212
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City | HILLSBORO
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State | OR
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Zip | 97123-4173
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Country | US
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Telephone | 503-549-4010
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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 | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | 202202152NP-PP
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License Number State | OR
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