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General NPI Number Information
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NPI Number | 1881630713
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Entity Type | Organization
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Legal Business Name | COUNTY OF UMATILLA
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Dates
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Enumeration Date | 06/21/2006
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Last Update Date | 11/19/2024
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Provider Practice Location Address
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Address Line | 200 SE 3RD ST
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City | PENDLETON
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State | OR
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Zip | 97801-2503
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Country | US
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Telephone | 541-278-5432
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Fax | 541-278-5433
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Provider Business Mailing Address
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Address Line | 200 SE 3RD ST
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City | PENDLETON
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State | OR
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Zip | 97801-2503
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Country | US
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Telephone | 541-278-5432
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Fax | 541-278-5433
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Authorized Official
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Title or Position | DEPUTY DIRECTOR
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Name | ALISHA LUNDGREN
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Credential |
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Telephone | 541-278-5432
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 261QA0005X
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Taxonomy Name | Ambulatory Family Planning Facility
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QF0050X
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Taxonomy Name | Non-Surgical Family Planning Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State | OR
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