Provider Demographics
NPI:1902976319
Name:MASLEN-DUVALL, JULIE YVONNE (MPT)
Entity Type:Individual
Prefix:MS
First Name:JULIE
Middle Name:YVONNE
Last Name:MASLEN-DUVALL
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:MISS
Other - First Name:JULIE
Other - Middle Name:YVONNE
Other - Last Name:METZGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MPT
Mailing Address - Street 1:19050 SW CASCADIA ST
Mailing Address - Street 2:
Mailing Address - City:ALOHA
Mailing Address - State:OR
Mailing Address - Zip Code:97007-1415
Mailing Address - Country:US
Mailing Address - Phone:503-707-4718
Mailing Address - Fax:
Practice Address - Street 1:10180 SE SUNNYSIDE RD
Practice Address - Street 2:
Practice Address - City:CLACKAMAS
Practice Address - State:OR
Practice Address - Zip Code:97015-8970
Practice Address - Country:US
Practice Address - Phone:503-652-2880
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-09
Last Update Date:2010-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR2603225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist