Individual
MS. MARY ANN HUFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3812 SE CLINTON ST, PORTLAND, OR 97202-1633
(503) 238-7162
Mailing address
3812 SE CLINTON ST, PORTLAND, OR 97202-1633
(503) 238-7162
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
17761
OR
Other
Enumeration date
12/07/2011
Last updated
12/07/2011
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