Individual
MARY K MARSHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
17225 NW TUCSON ST, BEAVERTON, OR 97006-7431
(503) 690-2108
Mailing address
17225 NW TUCSON ST, BEAVERTON, OR 97006-7431
(503) 690-2108
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
—
OR
Other
Enumeration date
08/01/2006
Last updated
07/08/2007
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