Individual
MARCY ELLEN DEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
671 SW MAIN ST, WINSTON, OR 97496-6571
(541) 492-4550
(541) 492-4556
Mailing address
671 SW MAIN ST, WINSTON, OR 97496-6571
(541) 492-4550
(541) 492-4556
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
571858
CA
363LF0000X
Family Nurse Practitioner
Primary
201608836NP-PP
OR
Other
Enumeration date
10/21/2016
Last updated
10/27/2016
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