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General NPI Number Information
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NPI Number | 1992830723
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Entity Type | Organization
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Legal Business Name | WELLPARTNER, INC
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Dates
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Enumeration Date | 02/22/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 7216 SW DURHAM RD SUITE P-200
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City | PORTLAND
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State | OR
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Zip | 97224-7594
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Country | US
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Telephone | 503-718-5700
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Fax | 503-718-5701
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Provider Business Mailing Address
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Address Line | 7216 SW DURHAM RD SUITE P-200
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City | PORTLAND
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State | OR
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Zip | 97224-7594
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Country | US
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Telephone | 503-718-5700
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Fax | 503-718-5701
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Authorized Official
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Title or Position | PIC
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Name | KENT E BLAIR
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Credential | RPH
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Telephone | 503-718-5700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RPH - 0007146
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License Number State | OR
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