# DUET PROVIDER GROUP, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205773900
- **Authorized official:** DR. VIKRAM BAKHRU MD (PRESIDENT)
- **Authorized official phone:** (305) 676-5435

## Contact information

- **Practice address:** 10260 SW GREENBURG RD STE 400, PORTLAND, OR 97223-5514
- **Practice address phone:** (305) 676-5435
- **Mailing address:** 10260 SW GREENBURG RD STE 400, PORTLAND, OR 97223-5514
- **Mailing address phone:** (305) 676-5435

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/30/2026
- **Last updated:** 04/30/2026