Individual
MS. MARY L FEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
35859 HIGHWAY 58, PLEASANT HILL, OR 97455-9651
(541) 767-5200
(541) 937-1370
Mailing address
1115 SE 164TH AVE DEPT 358, VANCOUVER, WA 98683-8004
(541) 767-5200
(541) 767-5310
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
084054259N1FNPPP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115162
—
OR
Enumeration date
06/28/2006
Last updated
10/18/2023
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