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Individual

MARIETTA H CHOE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
4104 SE 82ND AVE, SUITE 250, PORTLAND, OR 97266-2954
(503) 215-9850
(503) 215-9855
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD20011
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
135229
OR
01
P00250304
RR MEDICARE
OR
Enumeration date
07/03/2006
Last updated
10/20/2020
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