Individual
MS. JUDY MARIE VEARY POWERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3730 NW JACKSON AVE, CORVALLIS, OR 97330-4946
(541) 610-4175
Mailing address
3730 NW JACKSON AVE, CORVALLIS, OR 97330-4946
(541) 610-4175
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
18544
OR
Other
Enumeration date
07/30/2012
Last updated
07/30/2012
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