Individual provider · Type 1 NPI

Mary Demyan

Student in an Organized Health Care Education/Training Program · Gresham, OR

NPI number 1487053872 Active

Practice location

5875 SE 18th St
Gresham, OR 97080-3100

Call (503) 713-3058 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1487053872

Mary Demyan's National Provider Identifier is 1487053872, issued on Aug 21, 2014. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Gresham, OR. The record was last updated on Aug 21, 2014.