Maryanne O'connor, LMP

NPI #1710100664 in Poulsbo, Washington

Provider Information

NPI Number: 1710100664
Entity Type: Individual
Name: Maryanne O'connor, LMP
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: LMP
Enumeration Date: Apr 10, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 18777 9TH AVE NE
Address 2: STE. 6
City: Poulsbo
State: Washington
ZIP Code: 98370-8402
Phone: (425) 736-1184

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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