Individual
MR. MARK RANDALL MCINTIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S.W.
Contact information
Practice address
4455 NE HIGHWAY 20, CORVALLIS, OR 97330-9695
(541) 757-1852
Mailing address
1732 ELK CIR SW, ALBANY, OR 97321-3730
(541) 791-4604
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/14/2007
Last updated
07/08/2007
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