Individual
MARIAN OSBOURNE HODGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6410 NE HALSEY ST, SUITE 300, PORTLAND, OR 97213-4742
(503) 215-4691
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD14917
OR
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
MD149417
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
162560
—
OR
Enumeration date
10/23/2006
Last updated
10/15/2020
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