Individual
MARY ELIZABETH GISWOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10100 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-8970
(503) 571-3099
Mailing address
4030 NE STANTON ST, PORTLAND, OR 97212-2957
(503) 281-4213
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD23643
OR
Other
Enumeration date
11/01/2006
Last updated
02/04/2022
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