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Individual

MRS. MARIE MICHIKO HARVEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
3710 SW US VETERANS HOSPITAL RD, PORTLAND, OR 97239-2964
(503) 220-8362
Mailing address
3600 IVY DRIVE, NEWBERG, OR 97132
(503) 554-9868

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
200342306RN
OR

Other

Enumeration date
11/20/2020
Last updated
11/20/2020
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