Individual
DUANE ANSEL DUEY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
ATC-R
Contact information
Practice address
930 SW HALL 143A, PORTLAND, OR 97201
(503) 725-4073
Mailing address
3221 KNOLL DR, NEWBERG, OR 97132-8613
(503) 866-0247
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
AT-AT-221980
OR
Other
Enumeration date
04/14/2006
Last updated
07/08/2007
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