Mamer, Mary C

Mamer, Mary C is an sole proprietor health care provider with primary practice located at 1255 Sw Chad Drive # 2066, Waldport OR 97394-2066. She recently has only one registered license in Nursing Service Providers / Community Health, which is considered as her primary health care specialty. Mamer, Mary C can be contacted via phone (541) 961-8805.

Contact Information

Primary practice address
1255 Sw Chad Drive # 2066 Waldport OR 97394-2066
Fax: (541) 563-6974
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Community Health 163WC1500X Oregon

Profile Details

NPI number 1568554525
LBN Legal business name Mamer, Mary C
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 28th, 2006
Last updated Jul 9th, 2007 - about 18 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 1568554525 NPPES
Oregon MEDICAID 098279

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