Individual
SUSAN DEMARKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2600 SE BELMONT ST, PORTLAND, OR 97214-2916
(503) 239-5738
Mailing address
22267 SW 111TH AVE, TUALATIN, OR 97062-8163
(503) 577-5865
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
200930199
OR
Other
Enumeration date
09/12/2024
Last updated
09/12/2024
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