Individual
MS. MARY LYONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4855 SW WESTERN AVE, BEAVERTON, OR 97005-3460
(503) 520-4855
Mailing address
4855 SW WESTERN AVE, BEAVERTON, OR 97005-3460
(503) 520-4855
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
MD00034712
WA
207N00000X
Dermatology Physician
Primary
MD14554
OR
Other
Enumeration date
05/02/2007
Last updated
07/08/2007
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