Individual
MRS. MAGGIE EILEEN EBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3640 NW SAMARITAN DR STE 100A, CORVALLIS, OR 97330-3784
(541) 768-5205
Mailing address
PO BOX 1189, CORVALLIS, OR 97339-1189
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA150183
OR
Other
Enumeration date
09/18/2009
Last updated
11/09/2020
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