Individual
JULIA DUFFY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
2224 N ALBERTA ST, PORTLAND, OR 97217-3509
(503) 309-4244
Mailing address
2224 N ALBERTA ST, PORTLAND, OR 97217-3509
(503) 309-4244
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H6159
OR
Other
Enumeration date
10/25/2011
Last updated
10/25/2011
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