Individual
MAKKEDAH-SATORI MARIELOVE EMANUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4823 MEADOWS RD STE 127, LAKE OSWEGO, OR 97035-2622
(888) 227-3312
Mailing address
PO BOX 2908, PORTLAND, OR 97208-2908
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA16324
TX
363A00000X
Physician Assistant
Primary
PA189964
OR
Other
Enumeration date
09/19/2016
Last updated
03/19/2025
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