Individual
MARIANNE PONTEMAYOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4105 SE INTERNATIONAL WAY STE 501, MILWAUKIE, OR 97222-8855
(503) 686-1466
Mailing address
2299 NE 106TH AVE APT 824, HILLSBORO, OR 97124-8234
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/21/2021
Last updated
10/21/2021
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