MARVIN BRADLEY LILLY

PORTLAND, OR
NPI1780236406
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: OR  201391789RN)
Enumeration Date2019-07-12
Last Update Date2019-07-12
Business Address
MARVIN BRADLEY LILLY
1535 N WILLIAMS AVE
PORTLAND, OR 97227-1885
Phone number: 503-238-2067
Mailing Address
MARVIN BRADLEY LILLY
232 NW 6TH AVE
PORTLAND, OR 97209-3609
Phone number: 503-294-1681
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