Individual
MARILYN S MERRITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1350 NE 122ND AVE, PORTLAND, OR 97230-2011
(503) 408-7008
(503) 408-7045
Mailing address
PO BOX 888918, LOS ANGELES, CA 90088-8918
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
20050046NP
OR
Other
Enumeration date
04/13/2006
Last updated
01/06/2022
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