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Mary Jane Kennel, LMT
Specialist in Corvallis, Oregon
NPI 1881820553

Mary Jane Kennel is a Specialist based in Corvallis, OR. Mary Jane Kennel practices in Corvallis, OR and has the professional credentials of LMT. The NPI Number for Mary Jane Kennel is 1881820553 and holds a License No. 5919 (Oregon).

The current practice location address for Mary Jane Kennel is 990 Nw Circle Blvd Ste 201, Corvallis, OR and can be reached out via phone at 541-768-6412.

Location: 990 Nw Circle Blvd Ste 201, Corvallis, OR, 97330-1410
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1881820553
Provider Name
Mary Jane Kennel
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
990 Nw Circle Blvd Ste 201, Corvallis, OR, 97330-1410
Phone Number
541-768-6412
Fax Number
Provider Enumeration Date
06/08/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5919 01 OR OREGON STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
990 Nw Circle Blvd Ste 201
City
Corvallis
State
Oregon
Zip
97330-1410
Phone Number
541-768-6412
Fax Number
person
Provider Business Mailing Address Details
Address
990 Nw Circle Blvd Ste 201
City
Corvallis
State
Oregon
Zip
97330-1410
Phone Number
541-768-6412
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
5919 (Oregon)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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