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Individual

DR. JOY ELIZABETH EBERHARDT DE MASTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2800 N VANCOUVER AVE, SUITE #201, PORTLAND, OR 97227-1630
(503) 276-9000
Mailing address
2800 N VANCOUVER AVE, SUITE #201, PORTLAND, OR 97227-1630
(503) 276-9000

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD29356
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500624709
OR
Enumeration date
08/02/2008
Last updated
04/26/2013
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