Individual
MARIA V PROKHOROVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
998 LIBRARY CT, OREGON CITY, OR 97045-4041
(503) 655-8401
(503) 655-8429
Mailing address
2051 KAEN RD, SUITE 367, OREGON CITY, OR 97045-4035
(503) 742-5300
(503) 742-5979
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD21686
OR
Other
Enumeration date
09/08/2006
Last updated
03/24/2014
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