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General NPI Number Information
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NPI Number | 1932109840
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Entity Type | Organization
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Legal Business Name | WEST HILLS GASTROENTEROLOGY ASSOCIATES PC
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Dates
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Enumeration Date | 07/21/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 9701 SW BARNES RD #300
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City | PORTLAND
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State | OR
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Zip | 97225-6772
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Country | US
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Telephone | 503-297-8081
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Fax | 503-292-6601
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Provider Business Mailing Address
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Address Line | 9701 SW BARNES RD #300
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City | PORTLAND
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State | OR
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Zip | 97225-6772
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Country | US
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Telephone | 503-297-8081
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Fax | 503-292-6601
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Authorized Official
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Title or Position | ASSISTANT ADMINISTRATOR
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Name | DEBBIE LYNN SNOOK
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Credential |
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Telephone | 503-517-9612
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 7054604
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License Number State | OR
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