Mary M Self
Optician
2400 Lancaster Dr Ne
Salem
, Oregon 97305-1221
(503) 831-3334
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About
Features
Specialties
- Optician
Languages spoken
- English
Location
First Address
- Mary M Self
- 6200 Treehouse Rd
- Monmouth, OR
- Zip : 97361-9443
- Phone : (503) 831-3334
Second Address
- Mary M Self
- 2400 Lancaster Dr Ne
- Salem, OR
- Zip : 97305-1221
- Phone : (503) 370-4851
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 156FX1800X | Optician | OR |
National Provider Identifier
| NPI | 1053402511 |
|---|---|
| Provider Name | Mary M Self |
| First Address | Monmouth, OR 97361-9443 |
| Second Address | Salem, OR 97305-1221 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/09/2006 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.