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1336287085
MARY K BUSHNELL
PORTLAND, OR
NPI
1336287085
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: OR 200050040NP)
Enumeration Date
2007-02-02
Last Update Date
2007-07-08
Business Address
-- MARY K BUSHNELL pmhnp
2415 SE 43RD AVE SUITE 100
PORTLAND, OR 97206-1600
Phone number: 503-963-2575
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Mailing Address
-- MARY K BUSHNELL pmhnp
2415 SE 43RD AVE SUITE 100
PORTLAND, OR 97206-1600
Phone number: 503-963-2575
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