Individual
DEBRA DUQUETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3808 N. WILLIAMS, PORTLAND, OR 97227
(541) 263-0040
Mailing address
3015 NE 15TH AVE., PORTLAND, OR 97212
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
15169
OR
Other
Enumeration date
02/02/2010
Last updated
02/02/2010
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