Individual
MARCIA MACOMBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
442 NW 3RD ST, CORVALLIS, OR 97330-6403
(541) 760-2538
Mailing address
650 SE VERA AVE, CORVALLIS, OR 97333-1219
(541) 760-2538
Taxonomy
Speciality
Code
Description
License number
State
163WM0102X
Maternal Newborn Registered Nurse
201705692RN
OR
225700000X
Massage Therapist
Primary
17622
OR
Other
Enumeration date
12/28/2021
Last updated
12/28/2021
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