Individual
MARGO RENEE SPERRY-HUDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2230 NW PETTYGROVE ST, SUITE 110, PORTLAND, OR 97210-2659
(503) 224-4804
Mailing address
7514 SE 19TH AVE, PORTLAND, OR 97202-6205
(503) 891-1518
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
15615
OR
Other
Enumeration date
11/05/2008
Last updated
11/05/2008
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