Individual
MAURA MAYERLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1307 W MAIN ST, MEDFORD, OR 97501-2936
(541) 618-1314
Mailing address
931 CHEVY WAY, MEDFORD, OR 97504-4127
(541) 690-3555
(541) 690-3555
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
201608086RN
OR
Other
Enumeration date
10/20/2020
Last updated
10/20/2020
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