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General NPI Number Information
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NPI Number | 1962361824
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Entity Type | Individual
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Provider Name | JESUS MONYEAL JESUS SANCHEZ
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Gender | Male
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Dates
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Enumeration Date | 01/16/2026
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Last Update Date | 01/16/2026
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Provider Practice Location Address
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Address Line | 16060 E BURNSIDE ST APT 304
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City | PORTLAND
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State | OR
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Zip | 97233-3555
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Country | US
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Telephone | 971-200-5709
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Fax |
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Provider Business Mailing Address
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Address Line | 16060 E BURNSIDE ST APT 304
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City | PORTLAND
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State | OR
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Zip | 97233-3555
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Country | US
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Telephone | 971-200-5907
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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 | 207PE0004X
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Taxonomy Name | Emergency Medical Services (Emergency Medicine) Physician
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License Number | 850165
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License Number State | OR
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