Individual
MARY KATHLEEN MEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2875 NW STUCKI AVE, HILLSBORO, OR 97124-5806
(971) 310-1000
Mailing address
2875 NW STUCKI AVE, HILLSBORO, OR 97124
(971) 310-1000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD164334
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ENROLLED
—
MN
Enumeration date
08/11/2008
Last updated
02/04/2022
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