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Individual

NEREIDA MOHLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CMA

Contact information

Practice address
627 NE EVANS ST, MCMINNIVILLE, OR 97128
(503) 434-7523
(503) 434-9846
Mailing address
627 EVANS ST, YAMHILL COUNTY HEALTH AND HUMAN SERVICES, MCMINNIVILLE, OR 97128
(503) 434-7523
(503) 434-9846

Taxonomy

Speciality
Code
Description
License number
State
374700000X
Technician
Primary
0922-6010
OR
374700000X
Technician
201211891CNA
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1245634807
OR
05
500686786
OR
Enumeration date
10/10/2014
Last updated
06/20/2018
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