Self, Mary M

Self, Mary M is an individual health care provider with primary practice located at 2400 Lancaster Dr Ne , Salem OR 97305-1221. She recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as her primary health care specialty. Self, Mary M can be contacted via phone (503) 370-4851.

Contact Information

Primary practice address
2400 Lancaster Dr Ne Salem OR 97305-1221
Phone: (503) 370-4851
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X Oregon

Profile Details

NPI number 1053402511
LBN Legal business name Self, Mary M
Credentials ABOC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2006
Last updated Jul 8th, 2007 - about 17 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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