Individual
MARY M MORASCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, LMP
Contact information
Practice address
10809 NE SKIDMORE ST, PORTLAND, OR 97220-2679
(503) 810-5394
Mailing address
10809 NE SKIDMORE ST, PORTLAND, OR 97220-2679
(503) 810-5394
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
16532
OR
Other
Enumeration date
07/08/2012
Last updated
07/08/2012
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