Individual
MARANDA GASPAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3720 SW 141ST AVE, SUITE 100, BEAVERTON, OR 97005-2382
(503) 941-3046
Mailing address
3720 SW 141ST AVE, SUITE 100, BEAVERTON, OR 97005-2382
(503) 941-3046
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
09/27/2013
Last updated
09/27/2013
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