Horrall, Mary Beth

Horrall, Mary Beth is an individual health care provider with primary practice located at 15950 Sw Millikan Way , Beaverton OR 97006. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Horrall, Mary Beth can be contacted via phone (503) 646-0161.

Contact Information

Primary practice address
15950 Sw Millikan Way Beaverton OR 97006
Phone: (503) 646-0161
Fax: (503) 643-7459
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD4098 Oklahoma
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD16301 Oregon

Profile Details

NPI number 1790876274
LBN Legal business name Horrall, Mary Beth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2006
Last updated Nov 12th, 2020 - 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1790876274 NPPES
Oregon MEDICAID 005582

Popular Providers