Individual
MARY KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 NW BETHANY BLVD STE 200, HILLSBORO, OR 97006-5236
(814) 243-0414
Mailing address
1500 NW BETHANY BLVD STE 200, HILLSBORO, OR 97006-5236
(814) 243-0414
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
OS007038E
IN
Other
Enumeration date
04/06/2023
Last updated
04/06/2023
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