Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | 2855 | OR |
Y | 103T00000X | Psychologist | 2855 | OR |
NPI | 1003000944 |
---|---|
Provider Name | Ms. Alana J Duschane |
First Address | Portland, OR 97223-9585 |
Second Address | Portland, OR 97204-2507 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/09/2007 |
Last Update Date | 28/12/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1003000944 | (05) | CA |