Individual
MARYANNE O'CONNOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
18777 9TH AVE NE, STE. 6, POULSBO, WA 98370-8402
(425) 736-1184
Mailing address
PO BOX 134, REDMOND, WA 98073-0134
(425) 736-1184
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MAO0013992
WA
Other
Enumeration date
04/10/2007
Last updated
07/08/2007
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