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General NPI Number Information
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NPI Number | 1932392172
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Entity Type | Organization
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Legal Business Name | PAM RATHBONE WHCNP PC
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Dates
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Enumeration Date | 08/21/2007
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Last Update Date | 10/21/2024
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Provider Practice Location Address
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Address Line | 15 82ND DR STE 100
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City | GLADSTONE
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State | OR
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Zip | 97027-2550
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Country | US
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Telephone | 503-905-2526
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Fax | 503-974-3256
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Provider Business Mailing Address
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Address Line | 15 82ND DR STE 100
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City | GLADSTONE
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State | OR
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Zip | 97027-2550
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Country | US
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Telephone | 503-905-2526
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Fax | 503-974-3256
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Authorized Official
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Title or Position | OWNER/NP
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Name | PAMELA J. RATHBONE
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Credential | WHCNP
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Telephone | 503-905-2526
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | 092006979N7
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License Number State | OR
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