Individual
DR. JULIA W MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
24850 SE STARK ST, SUITE 150, GRESHAM, OR 97030-8316
(503) 491-0714
(503) 674-2834
Mailing address
24850 SE STARK ST, SUITE 150, GRESHAM, OR 97030-8316
(503) 491-0714
(503) 674-2834
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
163455
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34053400
—
WI
05
—
500660445
—
OR
Enumeration date
06/08/2005
Last updated
03/08/2016
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