Individual
MARYKATHRYN KORDASH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2775 NW 126TH AVE, PORTLAND, OR 97229-8381
(971) 279-3377
Mailing address
2775 NW 126TH AVE, PORTLAND, OR 97229-8381
(971) 279-3377
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/13/2022
Last updated
01/13/2022
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