institution
Mary Ann Penny Domm
Health Service Clinic/Center in Portland, Oregon
NPI 1396154944

Mary Ann Penny Domm is a Health Service Clinic/Center based in Portland, OR and is specialized in Health Service. Mary Ann Penny Domm practices in Portland, OR. The NPI Number for Mary Ann Penny Domm is 1396154944 and holds a License No. 27 2983 (Oregon).

The current practice location address for Mary Ann Penny Domm is 8550 Sw Apple Way, Portland, OR and can be reached out via phone at 503-477-7222 and via fax at 503-894-9699.

Location: 8550 Sw Apple Way, Portland, OR, 97225-1772
institution
Provider Profile Details
NPI Number
1396154944
Provider Name
Mary Ann Penny Domm
Credential
Provider Entity Type
Organization
Address
8550 Sw Apple Way, Portland, OR, 97225-1772
Phone Number
503-477-7222
Fax Number
503-894-9699
Provider Enumeration Date
08/07/2014
Last Update Date
04/13/2024
institution
Provider Business Practice Location Address Details
Address
8550 Sw Apple Way
City
State
Zip
97225-1772
Phone Number
503-477-7222
Fax Number
503-894-9699
person
Provider Business Mailing Address Details
Address
8550 Sw Apple Way
City
State
Zip
97225-1772
Phone Number
503-477-7222
Fax Number
503-894-9699
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Health Service
Taxonomy
License No.
27 2983 (Oregon)
Definition
Definition to come...
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