Individual
DR. MARY BENOWITZ REBAGLIATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10180 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-9764
(503) 652-2880
Mailing address
10180 SE SUNNYSIDE ROAD, CLACKAMAS, OR 97015-9764
(503) 652-2880
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD15865
OR
Other
Enumeration date
02/28/2007
Last updated
04/01/2008
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