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Individual

DR. MARILYN LOUISE REPLOGLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1015 NW 22ND AVE, PORTLAND, OR 97210-3025
(503) 413-3051
Mailing address
4529 SW BRUGGER ST, PORTLAND, OR 97219-5246
(503) 452-8542

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4840589-1205
UT
207R00000X
Internal Medicine Physician
MD23972
OR
208M00000X
Hospitalist Physician
Primary
MD23972
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
286568
OR
Enumeration date
03/24/2006
Last updated
03/25/2011
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