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Individual

DR. MARY P DEFRANK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
512 E MAIN ST, HILLSBORO, OR 97123-4137
(503) 640-3708
Mailing address
512 E MAIN ST, HILLSBORO, OR 97123-4137
(503) 640-3708

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD17255
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
083241
OR
Enumeration date
06/10/2005
Last updated
09/12/2022
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