Individual
MARJORY L MUELLNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
1162 WILLAMETTE ST, EUGENE, OR 97401-3568
(541) 687-6287
(541) 687-6154
Mailing address
PO BOX 24410, EUGENE, OR 97402-0451
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
86006428N5
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
109512
—
OR
Enumeration date
06/09/2006
Last updated
12/12/2008
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