Individual
DR. MARISKA RIVERA CIRERA-PROBST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
524 NW 23RD AVE, PORTLAND, OR 97210-3207
(503) 221-6539
Mailing address
524 NW 23RD AVE, PORTLAND, OR 97210-3207
(503) 221-6539
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3325AT
OR
Other
Enumeration date
08/08/2009
Last updated
08/08/2009
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