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Marge L Dettwiler, PNP
Pediatric Nurse Practitioner in Salem, Oregon
NPI 1053353649

Marge L Dettwiler is a Pediatric Nurse Practitioner based in Salem, OR and is specialized in Pediatrics. Marge L Dettwiler practices in Salem, OR and has the professional credentials of PNP. The NPI Number for Marge L Dettwiler is 1053353649 and holds a License No. 000027830N2 (Oregon).

The current practice location address for Marge L Dettwiler is 2395 Center St Ne, Salem, OR and can be reached out via phone at 503-364-0227 and via fax at 503-364-0364.

Location: 2395 Center St Ne, Salem, OR, 97301-4464
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Provider Profile Details
NPI Number
1053353649
Provider Name
Marge L Dettwiler
Credential
PNP
Provider Entity Type
Individual
Gender
Female
Address
2395 Center St Ne, Salem, OR, 97301-4464
Phone Number
503-364-0227
Fax Number
503-364-0364
Provider Enumeration Date
06/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
269714 05 OR
institution
Provider Business Practice Location Address Details
Address
2395 Center St Ne
City
State
Zip
97301-4464
Phone Number
503-364-0227
Fax Number
503-364-0364
person
Provider Business Mailing Address Details
Address
2395 Center St Ne
City
State
Zip
97301-4464
Phone Number
503-364-0227
Fax Number
503-364-0364
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
000027830N2 (Oregon)
Definition
Definition to come...
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