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General NPI Number Information
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NPI Number | 1881675973
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Entity Type | Organization
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Legal Business Name | WILLAMETTE GENERAL & VASCULAR SURGERY, P.C.
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Dates
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Enumeration Date | 11/07/2005
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Last Update Date | 02/12/2008
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Provider Practice Location Address
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Address Line | 19875 SW 65TH AVE SUITE 260
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City | TUALATIN
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State | OR
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Zip | 97062-8353
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Country | US
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Telephone | 503-691-1743
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Fax | 503-691-0983
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Provider Business Mailing Address
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Address Line | 19875 SW 65TH AVE SUITE 260
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City | TUALATIN
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State | OR
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Zip | 97062-8353
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Country | US
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Telephone | 503-691-1743
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Fax | 503-691-0983
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Authorized Official
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Title or Position | OWNER/PHYSICIAN
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Name | DR. PATRICK G MCBEE
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Credential | M.D.
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Telephone | 503-691-1743
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | MD19661
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License Number State | OR
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