Individual
MARY E GEARN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6410 NE HALSEY ST, SUITE 300, PORTLAND, OR 97213-4742
(503) 215-4691
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494
(503) 215-6644
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD19449
OR
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
MD19449
OR
207RX0202X
Medical Oncology Physician
Primary
MD19449
OR
Other
Enumeration date
07/02/2006
Last updated
03/20/2012
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