person
Mary M Self, ABOC
Optician in Salem, Oregon
NPI 1053402511

Mary M Self is a Optician based in Monmouth, OR and is specialized in Optician. Mary M Self practices in Salem, OR and has the professional credentials of ABOC. The NPI Number for Mary M Self is 1053402511 and holds a License No. (Oregon).

The current practice location address for Mary M Self is 2400 Lancaster Dr Ne, Salem, OR and can be reached out via phone at 503-370-4851.

Location: 2400 Lancaster Dr Ne, Salem, OR, 97361-9443
person
Provider Profile Details
NPI Number
1053402511
Provider Name
Mary M Self
Credential
ABOC
Provider Entity Type
Individual
Gender
Female
Address
2400 Lancaster Dr Ne, Salem, OR, 97361-9443
Phone Number
503-370-4851
Fax Number
Provider Enumeration Date
09/27/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
2400 Lancaster Dr Ne
City
State
Zip
97305-1221
Phone Number
503-370-4851
Fax Number
person
Provider Business Mailing Address Details
Address
2400 Lancaster Dr Ne
City
State
Zip
97305-1221
Phone Number
503-370-4851
Fax Number
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
License No.
(Oregon)
Definition
Definition to come...
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