Individual
MERIN JOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15700 SW GREYSTONE CT, BEAVERTON, OR 97006-6011
(971) 262-9150
(971) 262-9151
Mailing address
15700 SW GREYSTONE CT, BEAVERTON, OR 97006-6011
(971) 262-9150
(971) 262-9151
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD214353
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/31/2018
Last updated
09/27/2023
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