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Serene Care Clinic 7411 S.E. Powell Blvd. Portland, OR 97206 Telephone: 5037621122 Fax: 5037621155 Authorization to Use or Disclose Protected Health Information Patient Name: Address: Phone: Date
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What is serene care clinic 7411?
Serene Care Clinic 7411 is a medical facility that provides healthcare services.
Who is required to file serene care clinic 7411?
Serene Care Clinic 7411 is required to be filed by healthcare facilities that meet certain criteria.
How to fill out serene care clinic 7411?
To fill out Serene Care Clinic 7411, you will need to provide specific information about the healthcare services provided.
What is the purpose of serene care clinic 7411?
The purpose of Serene Care Clinic 7411 is to report healthcare services provided by the facility.
What information must be reported on serene care clinic 7411?
Information such as patient demographics, services provided, and billing information must be reported on Serene Care Clinic 7411.
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