MEGAN LEAR MUDRICK

PORTLAND, OR
NPI1528250131
Former NameMEGAN ELIZABETH LEAR
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: OR  MD164511)
Additional Taxonomies207Q00000X Family Medicine
(Licence: IL  036118322)
207Q00000X Family Medicine
(Licence: KS  04-34032)
207Q00000X Family Medicine
(Licence: VA  0101243296)
Enumeration Date2007-08-16
Last Update Date2021-03-22
Business Address
MEGAN LEAR MUDRICK MD
417 SW 117TH AVE SUITE 100
PORTLAND, OR 97225-5924
Phone number: 503-216-1800
Mailing Address
MEGAN LEAR MUDRICK MD
PO BOX 3158
PORTLAND, OR 97208-3158
Phone number: