Individual
DR. MARY E FISCHER
Inactive
Sole proprietor
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
7301 N ALTA AVE, PORTLAND, OR 97203-4807
(503) 286-0023
(503) 286-8335
Mailing address
7301 N ALTA AVE, PORTLAND, OR 97203-4807
(503) 286-0023
(503) 286-8335
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D6713
OR
Other
Enumeration date
07/12/2005
Last updated
07/08/2007
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