Individual
DR. MARY KATHLEEN HARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1519 NE F ST, GRANTS PASS, OR 97526-4234
(542) 240-5678
Mailing address
2222 SW QUINNEY DR., PENDLETON, OR 97801
(541) 240-4497
(541) 504-3907
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
D7115
OR
1223G0001X
General Practice Dentistry
Primary
9161076
ID
1223G0001X
General Practice Dentistry
D7115
OR
Other
Enumeration date
06/23/2006
Last updated
07/14/2025
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