Individual
MARY J BOUCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ND
Contact information
Practice address
922 NW CIRCLE BLVD STE 180, CORVALLIS, OR 97330-1483
(541) 224-6738
Mailing address
922 NW CIRCLE BLVD STE 180, CORVALLIS, OR 97330-1483
(541) 224-6738
(541) 224-8508
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
OR951
OR
Other
Enumeration date
12/16/2019
Last updated
12/16/2019
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