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Individual

MRS. MARY CHRISTINE VRONTAKIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
12350 SW HARLEQUIN DR, BEAVERTON, OR 97007-6237
(503) 828-4254
Mailing address
12350 SW HARLEQUIN DR, BEAVERTON, OR 97007-6237
(503) 828-4254

Taxonomy

Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
200142018RN
OR

Other

Enumeration date
08/26/2024
Last updated
09/05/2024
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