Individual
DYANN S MURPHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13524 SE 145TH AVE, CLACKAMAS, OR 97015-6244
(615) 596-5276
Mailing address
13524 SE 145TH AVE, CLACKAMAS, OR 97015-6244
(615) 596-5276
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
982763
OR
Other
Enumeration date
08/27/2012
Last updated
08/27/2012
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