Individual
SACHIE KIYOKO DUVALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PWS
Contact information
Practice address
2415 SE 43RD AVE, PORTLAND, OR 97206-1600
(503) 230-9654
Mailing address
2415 SE 43RD AVE, PORTLAND, OR 97206-1600
(503) 230-9654
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
OR
Other
Enumeration date
03/17/2022
Last updated
03/17/2022
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