Provider Demographics
NPI:1891589982
Name:FLORES DURAN, DEISY LUCIA
Entity type:Individual
Prefix:
First Name:DEISY
Middle Name:LUCIA
Last Name:FLORES DURAN
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3211 D ST NE
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97301-2860
Mailing Address - Country:US
Mailing Address - Phone:971-283-8014
Mailing Address - Fax:
Practice Address - Street 1:620 NW 8TH ST
Practice Address - Street 2:
Practice Address - City:GRESHAM
Practice Address - State:OR
Practice Address - Zip Code:97030-6935
Practice Address - Country:US
Practice Address - Phone:503-901-6285
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-05
Last Update Date:2025-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula