Individual
MR. PATRICK WILLIAM MAHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
847 NE 19TH AVE, PORTLAND, OR 97232-2684
(503) 238-0769
Mailing address
1405 NE 79TH AVE, PORTLAND, OR 97213-6706
(503) 488-0587
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
05/11/2007
Last updated
01/25/2016
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