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General NPI Number Information
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NPI Number | 1972450278
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Entity Type | Individual
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Provider Name | RYAN HODGES
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Gender | Male
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Dates
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Enumeration Date | 03/14/2026
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Last Update Date | 03/14/2026
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Provider Practice Location Address
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Address Line | 2655 MARTIN LUTHER KING JR BLVD
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City | EUGENE
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State | OR
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Zip | 97401-5899
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Country | US
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Telephone | 541-393-1440
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Fax |
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Provider Business Mailing Address
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Address Line | 1248 COLTON WAY
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City | EUGENE
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State | OR
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Zip | 97402-1678
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Country | US
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Telephone | 503-997-3228
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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