Individual
MS. MARY E. MORRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
19185 SW 90TH AVE, TUALATIN, OR 97062-7558
(503) 885-7300
Mailing address
3217 NE 31ST AVE, PORTLAND, OR 97212-2618
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
OR PA00212
OR
363AM0700X
Medical Physician Assistant
WA PA10000731
WA
Other
Enumeration date
10/05/2006
Last updated
07/08/2007
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