Individual
MAUREEN M MULCAHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
17704 JEAN WAY, LAKE OSWEGO, OR 97035-5497
(503) 699-0370
(971) 236-9099
Mailing address
17704 JEAN WAY, SUITE 101, LAKE OSWEGO, OR 97035
(503) 699-0370
(971) 236-9099
Taxonomy
Speciality
Code
Description
License number
State
207YX0901X
Otology & Neurotology Physician
Primary
MD18995
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
130048
—
OR
Enumeration date
06/22/2005
Last updated
09/19/2018
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