Lundeberg, Duane Allen

Lundeberg, Duane Allen is an individual health care provider with primary practice located at 2222 Nw Lovejoy St Suite #622, Portland OR 97210-3033. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Lundeberg, Duane Allen can be contacted via phone (503) 229-8455.

Contact Information

Primary practice address
2222 Nw Lovejoy St Suite #622 Portland OR 97210-3033
Phone: (503) 229-8455
Fax: (503) 229-7028
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X MD11457 Oregon

Profile Details

NPI number 1063448728
LBN Legal business name Lundeberg, Duane Allen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2006
Last updated Oct 12th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063448728 NPPES
Oregon MEDICAID 268284
Oregon MEDICAID 26828-5

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