Individual
MARIE BAGLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
208 SLEEPY HOLLOW ST, ASHLAND, OR 97520-1207
(541) 326-9200
Mailing address
208 SLEEPY HOLLOW ST, ASHLAND, OR 97520-1207
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
04/25/2016
Last updated
04/25/2016
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