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Mary Ebert
NPI 1851796601 · on the registry since 2014
Practice
- Address
- 5905 Ne 15th Ave
Portland, OR 97211 - Phone
- (503) 809-1085
- Organisation at this address
- Freebert Studio, Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 225700000X
225700000X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-10-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon