DUANE ANSEL DUEY

PORTLAND, OR
NPI1275597460
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: OR  AT-AT-221980)
Enumeration Date2006-04-14
Last Update Date2007-07-08
Business Address
-- DUANE ANSEL DUEY ATC-R
930 SW HALL 143A
PORTLAND, OR 97201
Phone number: 503-725-4073
Mailing Address
-- DUANE ANSEL DUEY ATC-R
3221 KNOLL DR
NEWBERG, OR 97132-8613
Phone number: 503-866-0247