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NPI Code Detail

MEDICARE: CAROL ANN DUNCAN

MEDICARE: CAROL ANN DUNCAN
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
1225700000XMassage Therapist29617OR

General Provider Information

NPI Number : 1780527796
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAROL ANN DUNCAN
Provider Business Mailing Address
First Line : 2821 NE RODNEY AVE
Second Line :
City : PORTLAND
State : OR
Zip : 97212-3025
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2821 NE RODNEY AVE
Second Line :
City : PORTLAND
State : OR
Zip : 97212-3025
Country : US
Telephone Number : 303-328-1719
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/13/2026
Last Update Date : 04/13/2026

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Directions to “ CAROL ANN DUNCAN ” Practice Location

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