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Individual

MS. MARY ELIZABETH VON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
222 SE 8TH AVE, SUITE 551, HILLSBORO, OR 97123-4218
(503) 352-7308
Mailing address
4170 NW CARLTON CT, PORTLAND, OR 97229-2946
(503) 927-4427

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00648
OR

Other

Enumeration date
03/13/2007
Last updated
07/08/2007
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