Individual
MS. RANDI JO DURANCEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4531 SE BELMONT ST, STE 100, PORTLAND, OR 97215-1675
(503) 891-4952
(503) 215-7864
Mailing address
4531 SE BELMONT ST, STE 100, PORTLAND, OR 97215-1675
(503) 891-4952
(503) 215-7864
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95007092
OR
Other
Enumeration date
08/01/2013
Last updated
08/01/2013
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