MARY LISA SHELLEY PORTER

GRESHAM, OR
NPI1902785744
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163WP0809X Registered Nurse, Psych/Mental Health, Adult
(Licence: OR  201243125RN)
Enumeration Date2025-08-27
Last Update Date2025-08-27
Business Address
MARY LISA SHELLEY PORTER RN
4101 NE DIVISION ST
GRESHAM, OR 97030-4617
Phone number: 503-573-8663
Mailing Address
MARY LISA SHELLEY PORTER RN
4101 NE DIVISION ST
GRESHAM, OR 97030-4617
Phone number: 503-573-8663