Individual
PATRICE ANN MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
606 MEDICAL PARKWAY, ENTERPRISE, OR 97828
(541) 805-5954
Mailing address
606 MEDICAL PARKWAY, ENTERPRISE, OR 97828
(541) 805-5954
Taxonomy
Speciality
Code
Description
License number
State
103TA0700X
Adult Development & Aging Psychologist
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
OR
Other
Enumeration date
04/12/2022
Last updated
04/27/2022
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