Individual
MARY ABRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3620 NW SAMARITAN DR STE 202, CORVALLIS, OR 97330-3785
(541) 768-5800
Mailing address
PO BOX 1189, CORVALLIS, OR 97339-1189
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MT202013
PA
207RR0500X
Rheumatology Physician
290534
NY
207RR0500X
Rheumatology Physician
Primary
MD211734
OR
Other
Enumeration date
06/22/2012
Last updated
09/16/2022
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