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1124416508
MARY BURNELL
PORTLAND, OR
NPI
1124416508
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: OR PA170904)
Enumeration Date
2015-01-07
Last Update Date
2020-10-26
Business Address
MARY BURNELL PA-C
9135 SW BARNES RD STE 875
PORTLAND, OR 97225-6683
Phone number: 503-297-3440
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Mailing Address
MARY BURNELL PA-C
8614 E MILL PLAIN BLVD STE 400
VANCOUVER, WA 98664-2092
Phone number: 541-728-1019
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