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Individual

HILARY GABRIELLE DUVAUCHELLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PMHNP-BC, FNP-BC

Contact information

Practice address
12636 SE STARK ST STE 125, PORTLAND, OR 97233-1058
(503) 253-4600
(503) 253-4609
Mailing address
4504 SE WINDSOR CT, PORTLAND, OR 97206-1660

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
200942957
OR
363L00000X
Nurse Practitioner
Primary
10026825
OR

Other

Enumeration date
07/20/2022
Last updated
10/07/2025
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