Individual
DR. AVVY MAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3434 S KELLY AVE, PORTLAND, OR 97239-4630
(503) 313-7743
Mailing address
15 VILLA MARIA CT, NOVATO, CA 94947
(415) 892-6467
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
17806
CA
103TC0700X
Clinical Psychologist
2890
OR
103TC0700X
Clinical Psychologist
Primary
PSY17806
CA
Other
Enumeration date
09/16/2006
Last updated
07/02/2024
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