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Individual

MARY E MARTEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
4805 NE GLISAN ST STE 11N, PORTLAND, OR 97213-2933
(503) 215-1350
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
201703078
OR
163W00000X
Registered Nurse
RN60743697
WA
363L00000X
Nurse Practitioner
201703079
OR
363L00000X
Nurse Practitioner
AP60744184
WA
363LF0000X
Family Nurse Practitioner
Primary
201703079NP-PP
OR

Other

Enumeration date
02/13/2007
Last updated
09/30/2024
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