Individual
AYLA MAREE MCGINNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSS
Contact information
Practice address
422 MAIN ST, KLAMATH FALLS, OR 97601-6048
(541) 539-0377
Mailing address
422 MAIN ST, KLAMATH FALLS, OR 97601-6048
(541) 539-0377
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
111425
OR
Other
Enumeration date
06/13/2024
Last updated
10/23/2024
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