Dwyer, Marianne
Dwyer, Marianne is an individual health care provider with primary practice located at 9800 Se Sunnyside Rd Mt. Scott Clinic, Clackamas OR 97015-9750. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Dwyer, Marianne can be contacted via phone (503) 652-2880.Contact Information
Primary practice address
9800 Se Sunnyside Rd Mt. Scott Clinic
Clackamas OR 97015-9750
Phone: (503) 652-2880
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD12133 | Oregon |
Profile Details
| NPI number | 1679593560 |
|---|---|
| LBN Legal business name | Dwyer, Marianne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 20th, 2006 |
| Last updated | Feb 4th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679593560 | NPPES |
| Oregon | MEDICAID | 240503 |
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