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Individual

MARTHA JEANETTE DUNCAN-PEREZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRM, PSS, QMHA

Contact information

Practice address
14600 NW CORNELL RD, PORTLAND, OR 97229-5442
(503) 645-3581
Mailing address
14600 NW CORNELL RD, PORTLAND, OR 97229-5442
(503) 645-3581

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
THW1110
OR
175T00000X
Peer Specialist
Primary
THW1110
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
THW1110
OREGON HEALTH AUTHORITY
OR
Enumeration date
08/18/2017
Last updated
12/02/2020
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