Provider Demographics
NPI:1346404399
Name:FURM M DUNCAN JR, M.D., P.C.
Entity Type:Organization
Organization Name:FURM M DUNCAN JR, M.D., P.C.
Other - Org Name:FURM M DUNCAN JR
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:FURM
Authorized Official - Middle Name:M
Authorized Official - Last Name:DUNCAN
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:541-889-2229
Mailing Address - Street 1:1219 SW 4TH AVE
Mailing Address - Street 2:SUITE 2
Mailing Address - City:ONTARIO
Mailing Address - State:OR
Mailing Address - Zip Code:97914-4516
Mailing Address - Country:US
Mailing Address - Phone:541-889-2229
Mailing Address - Fax:541-889-0716
Practice Address - Street 1:1219 SW 4TH AVE
Practice Address - Street 2:SUITE 2
Practice Address - City:ONTARIO
Practice Address - State:OR
Practice Address - Zip Code:97914-4516
Practice Address - Country:US
Practice Address - Phone:541-889-2229
Practice Address - Fax:541-889-0716
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-17
Last Update Date:2012-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORMD06914207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR048520Medicaid
OR048520Medicaid