MARY ELLIS PICKETT

PORTLAND, OR
NPI1902813835
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: OR  MD22668)
Enumeration Date2006-08-02
Last Update Date2007-07-17
Business Address
MARY ELLIS PICKETT MD
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number: 503-494-8562
Mailing Address
MARY ELLIS PICKETT MD
3181 SW SAM JACKSON PARK RD MAIL CODE L-475
PORTLAND, OR 97239-3011
Phone number: 503-494-8562
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