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General NPI Number Information
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NPI Number | 1881500734
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Entity Type | Organization
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Legal Business Name | WILDFLOWER INTEGRATIVE MEDICINE
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Dates
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Enumeration Date | 08/20/2026
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Last Update Date | 08/20/2026
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Provider Practice Location Address
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Address Line | 214 PIONEER PKWY W
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City | SPRINGFIELD
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State | OR
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Zip | 97477-4506
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Country | US
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Telephone | 541-525-9152
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Fax | 541-452-6573
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Provider Business Mailing Address
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Address Line | 214 PIONEER PKWY W
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City | SPRINGFIELD
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State | OR
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Zip | 97477-4506
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Country | US
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Telephone | 541-525-9152
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Fax | 541-452-6573
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Authorized Official
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Title or Position | MEMBER
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Name | ABIGAIL STEPHENS
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Credential | MD
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Telephone | 541-525-9152
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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