Individual
MARY EMMA BETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3415 SE POWELL BLVD, PORTLAND, OR 97202-3396
(503) 234-9591
Mailing address
3415 SE POWELL BLVD, PORTLAND, OR 97202-3396
(503) 234-9591
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
202001137RN
OR
Other
Enumeration date
04/01/2020
Last updated
05/11/2020
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