Individual
MS. MARICHU DUCO DUMAG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP - C
Contact information
Practice address
3303 S BOND AVE, PORTLAND, OR 97239-4501
(503) 494-1775
(503) 494-4749
Mailing address
3303 S BOND AVE, PORTLAND, OR 97239-4501
(503) 494-1775
(503) 494-4749
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
202210059NP-PP
OR
363LF0000X
Family Nurse Practitioner
742193
TX
Other
Enumeration date
03/22/2013
Last updated
08/03/2022
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