Individual
THERESA ANN DUDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
14279 GLEN OAK RD, OREGON CITY, OR 97045-9070
(503) 657-6729
Mailing address
14279 GLEN OAK RD, OREGON CITY, OR 97045-9070
(503) 657-6729
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
93006562N2
OR
Other
Enumeration date
07/07/2010
Last updated
07/07/2010
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