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General NPI Number Information
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NPI Number | 1942182340
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Entity Type | Organization
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Legal Business Name | J. MASON DEPASSE, MD, PC
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Dates
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Enumeration Date | 07/24/2025
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Last Update Date | 07/24/2025
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Provider Practice Location Address
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Address Line | 19255 SW 65TH AVE STE 200
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City | TUALATIN
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State | OR
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Zip | 97062-9712
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Country | US
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Telephone | 713-870-8355
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Fax |
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Provider Business Mailing Address
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Address Line | 19255 SW 65TH AVE STE 200
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City | TUALATIN
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State | OR
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Zip | 97062-9712
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Country | US
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Telephone | 713-870-8355
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOHN MASON DEPASSE
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Credential | MD
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Telephone | 713-870-8355
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XS0117X
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Taxonomy Name | Orthopaedic Surgery of the Spine Physician
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License Number |
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License Number State |
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