Individual
MR. RUSSELL DUFFY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
39265 GROSHONG RD NE, ALBANY, OR 97321-9526
(541) 928-6294
Mailing address
39265 GROSHONG RD NE, ALBANY, OR 97321-9526
(541) 928-6294
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
314319
OR
Other
Enumeration date
01/31/2014
Last updated
01/31/2014
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