Individual
MS. MARY CAMERON LEYDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
1976 GARDEN AVE, EUGENE, OR 97403-1933
(541) 255-1411
(541) 255-1412
Mailing address
1976 GARDEN AVE, EUGENE, OR 97403-1933
(541) 255-1411
(541) 255-1412
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
201903776NP-PP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500763479
—
OR
Enumeration date
05/21/2019
Last updated
02/04/2025
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