Individual
MARIANNE DWYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9800 SE SUNNYSIDE RD, MT. SCOTT CLINIC, CLACKAMAS, OR 97015-9750
(503) 652-2880
Mailing address
9800 SE SUNNYSIDE RD, MT. SCOTT CLINIC, CLACKAMAS, OR 97015-9750
(503) 652-2880
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD12133
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
240503
—
OR
Enumeration date
07/20/2006
Last updated
02/04/2022
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