Gustafson, Margaret Mary

Gustafson, Margaret Mary is an individual health care provider with primary practice located at 2611 Pringle Rd Se , Salem OR 97302-1533. She recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Audiologist, Speech, Language and Hearing Service Providers / Hearing Instrument Specialist. Speech, Language and Hearing Service Providers / Audiologist is her primary health care specialty. Gustafson, Margaret Mary can be contacted via phone (503) 588-5330.

Contact Information

Primary practice address
2611 Pringle Rd Se Salem OR 97302-1533
Phone: (503) 588-5330
Fax: (503) 540-4473
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 20725 Oregon
Speech, Language and Hearing Service Providers / Hearing Instrument Specialist 237700000X HAS-P-213786 Oregon

Profile Details

NPI number 1669520797
LBN Legal business name Gustafson, Margaret Mary
Credentials M.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 8th, 2007
Last updated Nov 25th, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669520797 NPPES
Oregon MEDICAID 162826

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