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Individual

MAUREEN ANN HARRAHILL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ACNP

Contact information

Practice address
3181 SW SAM JACKSON PARK RD, L 604, PORTLAND, OR 97239-3011
(503) 494-6007
Mailing address
3181 SW SAM JACKSON PARK RD, L 604, PORTLAND, OR 97239-3011

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
079043389N0
OR
363LA2100X
Acute Care Nurse Practitioner
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
269483
OR
Enumeration date
08/01/2006
Last updated
07/19/2007
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