Individual
MRS. MARY CELESTE DEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
10175 SW BARBUR BLVD, 300BN, PORTLAND, OR 97219-5908
(503) 267-9313
Mailing address
10175 SW BARBUR BLVD, 300BN, PORTLAND, OR 97219-5908
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/29/2009
Last updated
07/29/2009
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