Individual
MR. MARK GERARD DUYCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
17360 HOLY NAMES DR, LAKE OSWEGO, OR 97034-5133
(503) 675-2449
Mailing address
17360 HOLY NAMES DR, LAKE OSWEGO, OR 97034-5133
(503) 675-2449
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
8100
OR
Other
Enumeration date
07/16/2015
Last updated
07/16/2015
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