Provider Demographics
NPI:1104943042
Name:DUNCAN, BARBARA SHARON (MC, LMHC)
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:SHARON
Last Name:DUNCAN
Suffix:
Gender:F
Credentials:MC, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3525 NE 18TH AVE
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97212-2370
Mailing Address - Country:US
Mailing Address - Phone:503-522-3507
Mailing Address - Fax:360-253-6424
Practice Address - Street 1:8000 NE PARKWAY DR
Practice Address - Street 2:SUITE 200
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98662-6744
Practice Address - Country:US
Practice Address - Phone:503-522-3507
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH0007803101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health