Individual
DR. MARY CHRISTINE HAUPTMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10819 SE STARK ST, SUITE 200, PORTLAND, OR 97216-3161
(503) 255-2291
(503) 252-1797
Mailing address
11086 SE OAK ST, MILWAUKIE, OR 97222-6692
(503) 557-2020
(503) 344-5110
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD13142
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
138974
—
OR
Enumeration date
11/15/2005
Last updated
11/17/2009
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