Individual
EILEEN MCNULTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPAS, PA-C
Contact information
Practice address
2525 NW LOVEJOY ST STE 400, PORTLAND, OR 97210-2865
(503) 223-1933
Mailing address
2525 NW LOVEJOY ST STE 400, PORTLAND, OR 97210-2865
(503) 223-1933
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA177262
OR
Other
Enumeration date
02/27/2015
Last updated
05/02/2018
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