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General NPI Number Information
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NPI Number | 1881381267
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Entity Type | Individual
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Provider Name | MEGAN R PURITZ APRN - NP
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Gender | Female
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Dates
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Enumeration Date | 04/18/2023
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Last Update Date | 09/25/2025
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Provider Practice Location Address
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Address Line | 10201 SE MAIN ST STE 27
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City | PORTLAND
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State | OR
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Zip | 97216-2937
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Country | US
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Telephone | 503-256-0877
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Fax | 503-256-4188
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Provider Business Mailing Address
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Address Line | PO BOX 3068
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City | PORTLAND
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State | OR
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Zip | 97208-3068
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Country | US
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Telephone | 503-229-7976
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Fax | 503-274-4867
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | AP61612560
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 10033590
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License Number State | OR
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