Dr. Mary M Bodie, M.D.
Internal Medicine in Clackamas, OR. Individual provider (NPI-1).
NPI number1972630754
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1972630754
- Entity type
- Individual (NPI-1)
- Name
- Dr. Mary M Bodie
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 27, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | OR MD16376 | OR | Yes |
Practice location
10180 Se Sunnyside RdClackamas, OR 97015-8970
Phone 503-652-2880
Mailing address
10180 Se Sunnyside RdClackamas, OR 97015-8970
Phone 503-652-2880
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