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1194348219
MADISON MARIE MABRY
PORTLAND, OR
NPI
1194348219
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: OR PA213704)
Enumeration Date
2020-05-22
Last Update Date
2024-11-05
Business Address
MADISON MARIE MABRY PAC
5050 NE HOYT ST STE 138
PORTLAND, OR 97213-2955
Phone number: 503-238-1061
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Mailing Address
MADISON MARIE MABRY PAC
541 NE 20TH AVE STE 225
PORTLAND, OR 97232-2895
Phone number: 503-963-2801
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