Cheryl Ann Duvall, RN, LMT

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

3858 Issued in OR

Practice address

19365 SW 65TH Ave
Suite 104
Tualatin, OR 97062-9196

Phone

(503) 699-7674

Fax

(503) 699-7759

NPI assigned

Feb 23, 2010

Last updated

Feb 23, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1266883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266883200000",
    "number": "1750603338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19365 SW 65TH AVE",
            "address_2": "SUITE 104",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970629196",
            "telephone_number": "503-699-7674",
            "fax_number": "503-699-7759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19365 SW 65TH AVE",
            "address_2": "SUITE 104",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970629196",
            "telephone_number": "503-699-7674",
            "fax_number": "503-699-7759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUVALL",
        "first_name": "CHERYL",
        "middle_name": "ANN",
        "credential": "RN, LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-23",
        "last_updated": "2010-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "OR",
            "license": "3858",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LMT LICENSE",
            "identifier": "3858",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSE",
            "identifier": "089006398RN",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSE",
            "identifier": "280922",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Janine L Dudley, OTR CHT
• Anna M Dulwick
• Jeffrey David Duman, MD
• Desiree Danielle Dunbar, PSY.D.
• Maya Duncan
• Mareechi Duvvuri, DC
• Scott R Dyer, DMD,MS
• East Side Orthotics & Prosthetics, Inc.
• Jessie P Easton, LMT
• Edward D. Lacy, DMD. Fagd, PC

• Health Service Clinic/Center in Tualatin, OR
• Providers in Tualatin, OR by specialty
• Health Service Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.