Individual
DR. ELLEN KYTE MAYOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
18010 MCEWAN RD, LAKE OSWEGO, OR 97035-7868
(503) 525-7500
(503) 525-7501
Mailing address
18010 MCEWAN RD, LAKE OSWEGO, OR 97035-7868
(503) 525-7500
(503) 525-7501
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD19822
OR
Other
Enumeration date
04/07/2006
Last updated
02/25/2011
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