Individual
ALYSSA DUENAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, GH219, PORTLAND, OR 97239-3011
(206) 660-2938
Mailing address
3181 SW SAM JACKSON PARK RD., GH219, PORTLAND, OR 97239
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085005633
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/29/2014
Last updated
02/04/2019
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