MARVIN DWANE FICKLE

PORTLAND, OR
NPI1497859623
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2084P0800X Psychiatry & Neurology Psychiatry
(Licence: OR  MD17565)
Enumeration Date2006-09-08
Last Update Date2013-10-10
Business Address
MARVIN DWANE FICKLE MD
3181 SW SAM JACKSON PARK RD MAIL CODE OP2
PORTLAND, OR 97239-3011
Phone number: 503-494-8147
Mailing Address
MARVIN DWANE FICKLE MD
3181 SW SAM JACKSON PARK RD MAIL CODE OP2
PORTLAND, OR 97239-3011
Phone number: 503-494-8147
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