Individual
RIE MARCELLUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6911 N MEARS ST, PORTLAND, OR 97203-1831
(503) 410-4013
Mailing address
6911 N MEARS ST, PORTLAND, OR 97203-1831
(503) 410-4013
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN60275983
WA
Other
Enumeration date
11/23/2014
Last updated
11/23/2014
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