Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | MD12783 | OR |
NPI | 1013003045 |
---|---|
Provider Name | Dr. Kurt R. Duffens |
First Address | Portland, OR 97225-6623 |
Second Address | Portland, OR 97225-6603 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/10/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
073387 | (05) | OR |
C92541 | (02) | OR |