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1497892145
MARY-LYNN THEEL
BEAVERTON, OR
NPI
1497892145
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry
(Licence: OR 17319)
Enumeration Date
2007-01-31
Last Update Date
2014-02-19
Business Address
-- MARY-LYNN THEEL M.D.
12250 SW 2ND ST
BEAVERTON, OR 97005-2828
Phone number: 503-906-7481
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Mailing Address
-- MARY-LYNN THEEL M.D.
12250 SW 2ND ST
BEAVERTON, OR 97005-2828
Phone number: 503-906-7481
Copy
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