Individual
MARA ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1200 NE 48TH AVE STE 1100, HILLSBORO, OR 97124-5062
(503) 844-8219
Mailing address
1200 NE 48TH AVE STE 1100, HILLSBORO, OR 97124-5062
(503) 844-8219
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
05/28/2021
Last updated
05/28/2021
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