| NPI | 1013055995 |
|---|---|
| Former Name | MARI ELIZABETH RILEY-KRESGE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OR PA01219) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: OR T0523) |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2016-05-19 |