Mrs. Susan Marie Mcmahon
Orthotic Fitter
117 Nw 2nd St
Corvallis
, Oregon 97330-4719
Mrs. Susan Marie Mcmahon
Orthotic Fitter
117 Nw 2nd St
Corvallis
, Oregon 97330-4719
(541) 753-0559
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About
Features
Specialties
- Orthotic Fitter
Languages spoken
- English
Location
First Address
- Mrs. Susan Marie Mcmahon
- 117 Nw 2nd St
- Corvallis, OR
- Zip : 97330-4719
- Fax : (541) 753-0559
- Phone : (541) 752-9649
Second Address
- Mrs. Susan Marie Mcmahon
- 117 Nw 2nd St
- Corvallis, OR
- Zip : 97330-4719
- Fax : (541) 753-0559
- Phone : (541) 752-9649
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225000000X | Orthotic Fitter |
National Provider Identifier
| NPI | 1154650463 |
|---|---|
| Provider Name | Mrs. Susan Marie Mcmahon |
| First Address | Corvallis, OR 97330-4719 |
| Second Address | Corvallis, OR 97330-4719 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/12/2009 |
| Last Update Date | 20/12/2011 |
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.