Individual
MARY JANE OROURKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7405 SE TIBBETTS ST, PORTLAND, OR 97206-1843
(503) 256-1667
Mailing address
7405 SE TIBBETTS, PORTLAND, OR 97206-1843
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
6921
OR
Other
Enumeration date
07/09/2008
Last updated
07/09/2008
About Stedi
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