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General NPI Number Information
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NPI Number | 1992492557
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Entity Type | Organization
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Legal Business Name | HOPE HEALTHWORKS
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Dates
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Enumeration Date | 04/24/2023
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Last Update Date | 04/24/2023
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Provider Practice Location Address
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Address Line | 10260 SW GREENBURG RD STE 400
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City | PORTLAND
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State | OR
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Zip | 97223-5514
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Country | US
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Telephone | 503-386-3324
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Fax | 503-386-3324
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Provider Business Mailing Address
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Address Line | 2824 N POWER RD STE 113-152
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City | MESA
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State | AZ
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Zip | 85215-1720
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Country | US
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Telephone | 503-386-3324
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Fax |
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Authorized Official
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Title or Position | NURSE PRACTITIONER/ OWNER
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Name | JOAN ILI
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Credential | NP
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Telephone | 503-386-3324
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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