Individual
DANETTA DUKES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13541 SE MARKET ST, PORTLAND, OR 97233-1752
(503) 238-0769
Mailing address
3909 SE 102ND AVE, PORTLAND, OR 97266-2403
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
09/04/2007
Last updated
09/04/2007
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