Individual
MRS. MARYLYN R. KLESH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
4855 SW WESTERN AVE, BEAVERTON, OR 97005-3460
(503) 643-7565
Mailing address
4855 SW WESTERN AVE, BEAVERTON, OR 97005-3460
(503) 249-3434
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
000024615N6
OR
Other
Enumeration date
08/19/2006
Last updated
07/10/2007
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