Provider Demographics
NPI:1225380736
Name:MCNASH, MARIA M (DC)
Entity Type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:M
Last Name:MCNASH
Suffix:
Gender:F
Credentials:DC
Other - Prefix:MS
Other - First Name:MARIA
Other - Middle Name:
Other - Last Name:DEFRANCO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:818 NW MARSHALL STREET
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97209
Mailing Address - Country:US
Mailing Address - Phone:503-719-5335
Mailing Address - Fax:503-719-5334
Practice Address - Street 1:818 NW MARSHALL STREET
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97209
Practice Address - Country:US
Practice Address - Phone:503-719-5335
Practice Address - Fax:503-719-5334
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-08
Last Update Date:2013-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR5081111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor