Individual
MARY KATHRYN MCGUIRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1600 STATE ST, SALEM, OR 97301-4257
(503) 540-6300
Mailing address
1600 STATE ST, SALEM, OR 97301-4257
(503) 549-6300
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
10029004
OR
363LF0000X
Family Nurse Practitioner
10029004
OR
Other
Enumeration date
07/10/2024
Last updated
08/20/2024
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