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General NPI Number Information
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NPI Number | 1891731733
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Entity Type | Individual
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Provider Name | SHERI LEE LAIRD MD
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Gender | Female
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Dates
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Enumeration Date | 06/21/2006
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Last Update Date | 07/25/2024
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Provider Practice Location Address
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Address Line | 1899 BLANKENSHIP RD STE A100
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City | WEST LINN
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State | OR
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Zip | 97068-4118
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Country | US
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Telephone | 503-659-4988
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 22075
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City | MILWAUKIE
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State | OR
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Zip | 97269-2075
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Country | US
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Telephone | 503-659-4988
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | MD21936
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD21936
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License Number State | OR
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