Individual
JULIANNA DESMARAIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, MAIL CODE OP09, PORTLAND, OR 97239-3011
(503) 494-8637
(503) 494-1133
Mailing address
3181 SW SAM JACKSON PARK RD, MAIL CODE OP09, PORTLAND, OR 97239-3011
(503) 494-8637
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
MD171187
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/06/2011
Last updated
06/01/2017
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