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Individual

KARLA G MARVICH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN, CNL

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
163W00000X
Registered Nurse
201040098RN
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
201501497NP-PP
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1306905831
OR
Enumeration date
10/08/2012
Last updated
02/04/2025
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