Individual
MARY L. GUTHRIE-JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1505 NW WASHINGTON BLVD, GRANTS PASS, OR 97526-1049
(541) 956-6250
(541) 956-6251
Mailing address
225 RED CEDAR LN, CAVE JUNCTION, OR 97523-9515
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3920P
KY
363LF0000X
Family Nurse Practitioner
81002128N1
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3920P
KENTUCKY
KY
05
—
78009446
—
KY
01
—
81002128N1
OREGON
OR
Enumeration date
06/21/2006
Last updated
05/28/2013
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