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Individual

MARILYN POULSEN WEBBER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
14223 NW SPRUCERIDGE LN, PORTLAND, OR 97229-2377
(503) 629-0237
(503) 629-0237
Mailing address
14223 NW SPRUCERIDGE LN, PORTLAND, OR 97229-2377
(503) 629-0237
(503) 629-0237

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD15233
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0086109
OR
Enumeration date
09/27/2005
Last updated
07/09/2008
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