Individual
DR. MARY KAY SCHWAB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD, FAGD
Contact information
Practice address
620 SW 5TH AVE, SUITE 1006, PORTLAND, OR 97204-1428
(503) 228-1470
(503) 229-4907
Mailing address
620 SW 5TH AVE, SUITE 1006, PORTLAND, OR 97204-1428
(503) 228-1470
(503) 229-4907
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D6507
OR
Other
Enumeration date
07/18/2006
Last updated
07/08/2007
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