Individual
MEGAN MARGARET MAZZEI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2434 SE BELMONT ST, PORTLAND, OR 97214-2821
(573) 639-2364
Mailing address
2434 SE BELMONT ST, PORTLAND, OR 97214-2821
(573) 639-2364
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
201808389
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
—
Enumeration date
09/25/2018
Last updated
09/25/2018
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