Individual
DR. MARIANN J. DRUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 418-0990
(503) 494-4982
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 418-0990
(503) 494-4982
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
MD00028223
WA
2085R0202X
Diagnostic Radiology Physician
Primary
MD201153
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003405
—
WA
05
—
8148025
—
WA
Enumeration date
05/19/2006
Last updated
05/01/2023
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