Individual
DR. MARY LU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1942 NW KEARNEY ST STE 24, PORTLAND, OR 97209-1465
(971) 350-8968
Mailing address
2908 NW THURMAN ST., PORTLAND, OR 97210-1941
(503) 445-2104
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD25702
OR
Other
Enumeration date
11/02/2006
Last updated
11/19/2019
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