Individual
DUANE B IVERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
55 COBURG RD, SLOCUM ORTHOPEDICS PC, EUGENE, OR 97401-2433
(541) 485-8111
(541) 868-0883
Mailing address
55 COBURG RD, SLOCUM ORTHOPEDICS PC, EUGENE, OR 97401-2433
(541) 485-8111
(541) 868-0883
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
0734
OR
2251X0800X
Orthopedic Physical Therapist
Primary
00734
OR
225500000X
Respiratory/Developmental/Rehabilitative Specialist/Technologist
AT 941024
OR
Other
Enumeration date
01/11/2007
Last updated
02/06/2008
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