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Individual

MS. MARY LOU ENGERT

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
PMHNP

Contact information

Practice address
319 SW WASHINGTON ST, SUITE 1015, PORTLAND, OR 97204-2635
(503) 274-4332
(503) 227-2561
Mailing address
319 SW WASHINGTON ST, SUITE 1015, PORTLAND, OR 97204-2635
(503) 274-4332
(503) 227-2561

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
079044247N6
OR

Other

Enumeration date
05/16/2006
Last updated
07/08/2007
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