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General NPI Number Information
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NPI Number | 1992170427
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Entity Type | Individual
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Provider Name | SELMAN MANUEL DNP, ARNP, FNP-C
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Gender | Male
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Dates
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Enumeration Date | 12/09/2015
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Last Update Date | 12/25/2025
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Provider Practice Location Address
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Address Line | 4560 SE INTERNATIONAL WAY STE 100
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City | MILWAUKIE
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State | OR
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Zip | 97222-4628
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Country | US
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Telephone | 971-610-4773
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Fax | 971-386-1034
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Provider Business Mailing Address
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Address Line | 4560 SE INTERNATIONAL WAY STE 100
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City | MILWAUKIE
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State | OR
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Zip | 97222-4628
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Country | US
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Telephone | 971-610-4773
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Fax | 253-295-4578
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP61133686
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License Number State | WA
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