Individual
MRS. MARY LOU FISHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
890 OAK ST SE, SALEM, OR 97301
(503) 561-5200
Mailing address
3455 AZALEA DR. SOUTH, SALEM, OR 97302
(503) 362-8261
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
000035766RN
OR
Other
Enumeration date
08/26/2010
Last updated
08/26/2010
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