Individual
DR. DAWN BEVERLY MAUTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
115 NE MAY LN, MCMINNVILLE, OR 97128-9272
(503) 472-1338
(503) 434-8597
Mailing address
PO BOX 6149, BEAVERTON, OR 97007-0149
(503) 352-8657
(503) 352-8658
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD440181
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0236578
—
NJ
05
—
1024835530003
—
PA
Enumeration date
08/06/2007
Last updated
07/21/2022
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