Individual
MARY E NORBECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, PMHNP-BC
Contact information
Practice address
2110 MISSION ST SE STE 305, SALEM, OR 97302-0038
(503) 379-1902
Mailing address
4225 HAWTHORNE AVE NE APT 216, SALEM, OR 97301-6774
(503) 463-6499
(503) 304-2224
Taxonomy
Speciality
Code
Description
License number
State
163WC1600X
Continuing Education/Staff Development Registered Nurse
200842532RN
OR
163WP0808X
Psychiatric/Mental Health Registered Nurse
200842532RN
OR
320800000X
Mental Illness Community Based Residential Treatment Facility
200842532RN
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
10044968
OR
Other
Enumeration date
02/05/2025
Last updated
07/15/2025
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