Individual
MARLA KAY GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10180 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-8970
(503) 652-2880
Mailing address
10180 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-8970
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD00034457
WA
174400000X
Specialist
Primary
MD14844
OR
Other
Enumeration date
08/16/2006
Last updated
07/08/2007
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