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Individual

KAILA DUKE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
3880 SE HARRISON ST, MILWAUKIE, OR 97222-5899
(503) 513-4665
Mailing address
PO BOX 14781, PORTLAND, OR 97293-0781
(503) 869-3131

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
20155
OR

Other

Enumeration date
01/28/2015
Last updated
01/28/2015
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