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Mary Wall

NPI 1417135559 · on the registry since 2008 · sole proprietor

Practice

Address
1446 Lawrence St
Eugene, OR 97401
Phone
(541) 683-3274

Registry record

Primary taxonomy
225100000X
225100000X
Also registered as
225700000X
Licence states on file
OR
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2009-05-07

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon