Healthcare Provider Details

I. General information

NPI: 1003858184
Provider Name (Legal Business Name): DUNCAN SOULE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/12/2006
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7336 S FULTON PARK BLVD
PORTLAND OR
97219-2920
US

IV. Provider business mailing address

7336 S FULTON PARK BLVD
PORTLAND OR
97219-2920
US

V. Phone/Fax

Practice location:
  • Phone: 503-449-5524
  • Fax:
Mailing address:
  • Phone: 503-449-5524
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number18089
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: