Individual
MS. MARY LOURDES SOOTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
12120 SW TRAIL PL, BEAVERTON, OR 97008-7010
(503) 803-4922
Mailing address
12120 SW TRAIL PL, BEAVERTON, OR 97008-7010
(503) 803-4922
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
HCI010402
OR
Other
Enumeration date
06/03/2021
Last updated
06/03/2021
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