Mary Sara Minette
Pediatric Cardiologist
707 Sw Gaines St Pediatric Cardiology, Cdrc-P
Portland
, Oregon 97239-2901
Mary Sara Minette
Pediatric Cardiologist
707 Sw Gaines St Pediatric Cardiology, Cdrc-P
Portland
, Oregon 97239-2901
(503) 494-2824
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About
Features
Specialties
- Pediatric Cardiologist
Languages spoken
- English
Location
First Address
- Mary Sara Minette
- 707 Sw Gaines St Pediatric Cardiology, Cdrc-P
- Portland, OR
- Zip : 97239-2901
- Fax : (503) 494-2824
- Phone : (503) 494-2192
Second Address
- Mary Sara Minette
- 707 Sw Gaines St Pediatric Cardiology, Cdrc-P
- Portland, OR
- Zip : 97239-2901
- Fax : (503) 494-2824
- Phone : (503) 494-2192
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080P0202X | Pediatric Cardiologist | MD19772 | OR |
National Provider Identifier
| NPI | 1275548786 |
|---|---|
| Provider Name | Mary Sara Minette |
| First Address | Portland, OR 97239-2901 |
| Second Address | Portland, OR 97239-2901 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/07/2006 |
| Last Update Date | 28/12/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 150183 | (05) | OR |
| H79439 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.