Mary Demyan

NPI #1487053872 in Gresham, Oregon

Provider Information

NPI Number: 1487053872
Entity Type: Individual
Name: Mary Demyan
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Aug 21, 2014
Last Updated: Aug 21, 2014

Practice Location

Address: 5875 SE 18TH ST
City: Gresham
State: Oregon
ZIP Code: 97080-3100
Phone: (503) 713-3058

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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