Individual
MRS. MARIAH LOUISE FRANCLEMONT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
11790 SW BARNES RD STE 330, PORTLAND, OR 97225-5935
(032) 284-4145
(503) 228-7293
Mailing address
11790 SW BARNES RD STE 330, PORTLAND, OR 97225-5935
(503) 228-4414
(503) 228-7293
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
017579
NY
Other
Enumeration date
07/09/2014
Last updated
07/23/2020
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