Individual
MS. MAYRA ALICIA OVERSTREET GALEANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-8211
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-8211
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2015-02109
NC
207Q00000X
Family Medicine Physician
PG163451
OR
Other
Enumeration date
04/14/2011
Last updated
06/20/2024
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