Individual
MISS MERIBETH ESTER MALONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18229 NW REEDER RD, PORTLAND, OR 97231-1427
(971) 295-6687
Mailing address
18229 NW REEDER RD, PORTLAND, OR 97231-1427
(971) 295-6687
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
BAP-E-10167099
OR
Other
Enumeration date
01/26/2016
Last updated
01/26/2016
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