Marge L Dettwiler is a Pediatrics in Salem, Oregon. Marge L Dettwiler practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Marge L Dettwiler is 1053353649. The last update date is 2011-10-26.
Marge L Dettwiler's current location address is 2395 Center St Ne, Salem, Oregon. You can contact this provider via phone number 5033640227 and fax number 5033640364. The mailing address for Marge L Dettwiler is 2395 Center St Ne, Salem, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marge L Dettwiler |
|---|---|
| Address | 2395 Center St Ne, Salem, Oregon |
| Phone Number | 5033640227 |
| Fax Number | 5033640364 |
| Sole Proprietor | N |
| Credentials | PNP |
NPI Number Detail
| NPI Number | 1053353649 |
|---|---|
| Provider Enumeration Date | 2006-06-11 |
| Last Updated Date | 2011-10-26 |
Provider Mailing Address Detail
| Address | 2395 Center St Ne |
|---|---|
| City | Salem |
| State | Oregon (OR) |
| Post Code | 973014464 |
| Phone Number | 5033640227 |
| Fax Number | 5033640364 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 363Lp0200X |
| Licence No | 000027830N2 |
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Definition: An advanced practice registered nurse expert in providing care to infants, children and adolescents. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 269714 | OR | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Marge L Dettwiler by the Centers for Medicare & Medicaid Services?
The Marge L Dettwiler has been issued the NPI (National Provider Identifier) 1053353649. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Marge L Dettwiler?
The Marge L Dettwiler is physically situated at 2395 Center St Ne, in the city of Salem, state of OR, with the postal code 973014464.
What is the Marge L Dettwiler's specialty and taxonomy code?
The Marge L Dettwiler's specialty is Pediatrics, and the corresponding taxonomy code is 363Lp0200X.
When did the Marge L Dettwiler receive its 1053353649?
The Marge L Dettwiler was issued its 1053353649 on 2006-06-11, which is the date when the organization was assigned this unique identifier.
As of what date was the information pertaining to Marge L Dettwiler, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Marge L Dettwiler, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2011-10-26.