MEDICARE: DUANE RICHARD OPP ARNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LA2100X	Acute Care Nurse Practitioner	AP3005263	WA
2	363LF0000X	Family Nurse Practitioner	AP3005263	WA

General Provider Information

NPI Number	:	1588627129
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DUANE RICHARD OPP ARNP

Provider Business Mailing Address
First Line	:	5807 82ND AVENUE CT W
Second Line	:
City	:	UNIVERSITY PLACE
State	:	WA
Zip	:	98467-5909
Country	:	US
Telephone Number	:	253-565-0292
Fax Number	:	253-589-4151

Provider Business Practice Location Address
First Line	:	9600 VETERANS DR SW
Second Line	:
City	:	TACOMA
State	:	WA
Zip	:	98493-0003
Country	:	US
Telephone Number	:	253-583-1157
Fax Number	:	253-589-4151

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/06/2006
Last Update Date	:	09/11/2025

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