Individual
MARILYN LUZOD MENDOZA
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
10201 SE MAIN ST, SUITE 29, PORTLAND, OR 97216-2937
(503) 251-6363
(503) 251-6239
Mailing address
10201 SE MAIN ST, SUITE 29, PORTLAND, OR 97216-2937
(503) 251-6363
(503) 251-6239
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
OR
Other
Enumeration date
03/28/2006
Last updated
07/08/2007
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