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Individual

MRS. MAUREEN CECELIA BAILEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.A.

Contact information

Practice address
10123 SE MARKET ST, PORTLAND, OR 97216-2532
(503) 251-6352
(503) 261-6769
Mailing address
10000 SE MAIN ST STE 45, PORTLAND, OR 97216-2461
(503) 251-6352
(503) 261-6769

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
177305
OR

Other

Enumeration date
08/04/2016
Last updated
02/20/2019
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