Provider Demographics
NPI:1174732812
Name:DUNCAN, MILTON EARL (DC, FACO, DABCO)
Entity type:Individual
Prefix:DR
First Name:MILTON
Middle Name:EARL
Last Name:DUNCAN
Suffix:
Gender:M
Credentials:DC, FACO, DABCO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6026 NE SANDY BLVD
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97213-3963
Mailing Address - Country:US
Mailing Address - Phone:503-281-7722
Mailing Address - Fax:503-281-8521
Practice Address - Street 1:6026 NE SANDY BLVD
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97213-3963
Practice Address - Country:US
Practice Address - Phone:503-281-7722
Practice Address - Fax:503-281-8521
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR271336111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NX0800XChiropractic ProvidersChiropractorOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
ORR0000QGCBNMedicare ID - Type Unspecified