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Individual

NANCY ANN DURBEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
707 SW GAINES ST, PORTLAND, OR 97239-2901
(800) 452-3563
Mailing address
5827 NE 31ST AVE, PORTLAND, OR 97211-6739

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3196
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
269871
OR
Enumeration date
12/04/2006
Last updated
07/08/2007
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