Individual
MARY GORMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT/LMT
Contact information
Practice address
2205 ASHLAND ST STE 204, ASHLAND, OR 97520-1971
(541) 482-0242
(541) 482-0231
Mailing address
309 S PACIFIC HWY, TALENT, OR 97540-6650
(541) 535-7019
(541) 512-8717
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3975
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
084229000
BLUECROSS BLUESHIELD
OR
05
—
299328
—
OR
Enumeration date
10/02/2006
Last updated
07/02/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us