Individual
MARCI LYN COGDILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1049 EDGEWATER ST NW # 150, SALEM, OR 97304-4046
(503) 814-4400
(503) 814-4414
Mailing address
PO BOX 13129, SALEM, OR 97309-1129
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201407426NP-PP
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/23/2014
Last updated
12/27/2018
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