Individual
MS. MARY ELIZABETH BRUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
108 SW MEMORIAL PLACE, CORVALLIS, OR 97333
(541) 737-9355
Mailing address
108 SW MEMORIAL PLACE, CORVALLIS, OR 97333
(541) 737-9355
Taxonomy
Speciality
Code
Description
License number
State
163WC1400X
College Health Registered Nurse
Primary
—
OR
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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