Individual
MARGARET MARY GUSTAFSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
2611 PRINGLE RD SE, SALEM, OR 97302-1533
(503) 588-5330
(503) 540-4473
Mailing address
2611 PRINGLE RD SE, SALEM, OR 97302-1533
(503) 588-5330
(503) 540-4473
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
20725
OR
237700000X
Hearing Instrument Specialist
HAS-P-213786
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
162826
—
OR
Enumeration date
01/08/2007
Last updated
11/25/2009
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