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General NPI Number Information
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NPI Number | 1922354703
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Entity Type | Organization
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Legal Business Name | OREGON HOUSING AND ASSOCIATED SERVICES, INC.
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Dates
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Enumeration Date | 07/30/2012
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Last Update Date | 07/30/2012
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Provider Practice Location Address
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Address Line | 2582 19TH ST SE
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City | SALEM
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State | OR
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Zip | 97302-1501
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Country | US
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Telephone | 503-585-6193
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Fax | 503-585-6198
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Provider Business Mailing Address
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Address Line | 2582 19TH ST SE
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City | SALEM
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State | OR
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Zip | 97302-1501
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Country | US
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Telephone | 503-585-6193
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Fax | 503-585-6198
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. CHRIS LYNN PRANTL
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Credential |
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Telephone | 503-585-6193
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number |
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License Number State | OR
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