Individual
MARY STEWART BROTHERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1340 NW WALL ST, BEND, OR 97701-1985
(541) 322-7535
(541) 330-4636
Mailing address
2577 NE COURTNEY DR, BEND, OR 97701-7638
(541) 322-7500
(541) 322-7565
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
074033868RN
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
163W00000X
TAXONOMY
OR
Enumeration date
02/02/2015
Last updated
02/02/2015
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