# MARY JO DREW

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1013065721
- **Gender:** F
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207ZB0001X | Blood Banking & Transfusion Medicine Physician | MD27873 | OR | Yes |
| 207ZP0105X | Clinical Pathology/Laboratory Medicine Physician | MD27873 | OR | — |

## Other

- **Enumeration date:** 01/08/2007
- **Last updated:** 08/26/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 325225310 | — | MI |
| 01 | — | 700H262270 | BLUE CROSS-BLUE CROSS | — |
| 01 | — | MD067302 | CHAMPUS-CHAMPUS | — |