MARA PETERSON

PORTLAND, OR
NPI1659950194
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: OR  PG204968)
Enumeration Date2021-04-02
Last Update Date2021-11-30
Business Address
MARA PETERSON MD
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3098
Phone number: 503-494-8211
Mailing Address
MARA PETERSON MD
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3098
Phone number: 503-494-8211
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