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Individual

DR. JENNIFER PURDY MAYBERRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
233 NE 102ND AVE, PORTLAND, OR 97220
(503) 253-1105
(503) 535-8398
Mailing address
21874 NE PARK LANE, FAIRVIEW, OR 97204
(503) 253-1105
(503) 535-8398

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD24376
OR

Other

Enumeration date
08/15/2006
Last updated
07/08/2007
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