Marilee Dea NP

NPI 1609067677 - Nurse Practitioner - 363LP0200X

NPI Details
NPI 1609067677
Gender Female
Enumeration Date 08/06/2007
Last Updated 01/06/2009
Entity Type Individual
Active Over 9 years ago
Practice Location
426 SW STARK ST
8TH FLOOR
PORTLAND OR, 97204-2347, US
Phone (503) 988-3056
Fax (503) 988-5182
Business Location
426 SW STARK ST
8TH FLOOR
PORTLAND OR, 97204-2347, US
Phone (503) 988-3056
Fax (503) 988-5182
Toxanomy
Taxonomy Code 363LP0200X
License State Oregon
License Number 000030062N2
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According to our database, Marilee Dea NP NPI is 1609067677, taxonomy code is 363LP0200X and license number is 000030062N2, license state is located at Oregon. Marilee Dea NP physically located at 426 Sw Stark St, Portland OR, 97204-2347. NPI Number Marilee Dea NP has the Individual type.

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1609067677 NPI number is provided on an as is basis without warranty of any kind. 1609067677 is maintained by the National Plan & Provider Enumeration System. The contents of Marilee Dea NP are for informational purposes only.