Individual
MARY A. FOSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5520 8TH AVE SE, SALEM, OR 97306-1560
(503) 371-4051
Mailing address
5520 8TH AVE SE, SALEM, OR 97306-1560
(503) 371-4051
Taxonomy
Speciality
Code
Description
License number
State
177F00000X
Lodging Provider
Primary
9024-532663-0710-D
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
532663
CURRENT PROVIDER NUMBER
OR
Enumeration date
02/18/2007
Last updated
07/08/2007
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