Individual
MARCI DRUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
805 SW INDUSTRIAL WAY STE 8, BEND, OR 97702-1093
(541) 460-3223
Mailing address
805 SW INDUSTRIAL WAY #8, BEND, OR 97702
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
15872
OR
Other
Enumeration date
09/26/2013
Last updated
09/26/2013
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