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Contact Information

MARY LYONS, MD
4855 SW WESTERN AVE
BEAVERTON, OR97005-3460
 Phone: 503-520-4855
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for MARY LYONS · (Female)

NPI Number 1659593481
Status Active
Credentials MD
Entity Individual
Enumeration date 05/02/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • OR License # MD14554
  • WA License # MD00034712
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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