Individual
MARY PURDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PBP, BSN, RES-CPT
Contact information
Practice address
104 S WATER ST, SILVERTON, OR 97381-1641
(503) 910-1045
Mailing address
700 WOODLAND DR NE, SILVERTON, OR 97381-8710
(503) 910-1045
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
099000160RN
OR
163WL0100X
Lactation Consultant (Registered Nurse)
099000160RN
OR
Other
Enumeration date
01/14/2014
Last updated
05/16/2019
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