Organization
AXON ELECTRODIAGNOSIS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAX BARNETT DUNCAN JR. D.O. (OWNER)
(503) 292-7387
Entity
Organization
Contact information
Practice address
9427 SW BARNES RD, STE 595, PORTLAND, OR 97225-6652
(503) 292-7387
(503) 296-7835
Mailing address
9427 SW BARNES RD, STE 595, PORTLAND, OR 97225-6652
(503) 292-7387
(503) 296-7835
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
DO25110
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022582
—
OR
Enumeration date
02/25/2008
Last updated
02/25/2008
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