Individual
ANTONIA DURAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18600 SE MCLOUGHLIN BLVD, MILWAUKIE, OR 97267-6723
(971) 255-0658
Mailing address
18600 SE MCLOUGHLIN BLVD, MILWAUKIE, OR 97267-6723
(971) 255-0658
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
24-CRM-3851
OR
Other
Enumeration date
12/09/2024
Last updated
12/09/2024
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