Individual
BRENNA DUKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
620 N CLOVERLEAF LOOP, SPRINGFIELD, OR 97477-1167
(541) 736-3990
Mailing address
PO BOX 8459, PORTLAND, OR 97207-8459
(503) 238-0769
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/08/2012
Last updated
10/08/2012
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