Provider Demographics
NPI:1386017820
Name:MCDUFFEE, AMY (ND)
Entity Type:Individual
Prefix:DR
First Name:AMY
Middle Name:
Last Name:MCDUFFEE
Suffix:
Gender:F
Credentials:ND
Other - Prefix:DR
Other - First Name:AMY
Other - Middle Name:
Other - Last Name:NEUSSL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ND
Mailing Address - Street 1:29781 SW TOWN CENTER LOOP W STE 700
Mailing Address - Street 2:
Mailing Address - City:WILSONVILLE
Mailing Address - State:OR
Mailing Address - Zip Code:97070-8901
Mailing Address - Country:US
Mailing Address - Phone:503-773-2375
Mailing Address - Fax:
Practice Address - Street 1:29781 SW TOWN CENTER LOOP W STE 700
Practice Address - Street 2:
Practice Address - City:WILSONVILLE
Practice Address - State:OR
Practice Address - Zip Code:97070-8901
Practice Address - Country:US
Practice Address - Phone:503-773-2375
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-05
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR3062175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath