Individual
DR. MARLA MARINA MATAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
17620 BLUE HERON DR, LAKE OSWEGO, OR 97034-6608
(626) 824-6747
Mailing address
17620 BLUE HERON DR, LAKE OSWEGO, OR 97034-6608
(626) 824-6747
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD26384
OR
Other
Enumeration date
07/09/2006
Last updated
04/25/2011
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