Individual
MARK D HEALY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTRL CHT
Contact information
Practice address
1600 STATE ST, SALEM, OR 97301-4257
(503) 540-6472
(503) 540-6480
Mailing address
1600 STATE ST, SALEM, OR 97301-4257
(503) 540-6300
(503) 540-6404
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
999275
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
274138
—
OR
Enumeration date
10/16/2006
Last updated
04/25/2019
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