NPI 1053402511

Mary M Self, ABOC

Practitioner Optician Salem, OR

Practice location

Address: 2400 Lancaster Dr NE, Salem, OR 97305-1221
Phone: (503) 370-4851
Mailing address: 6200 Treehouse Rd, Monmouth, OR 97361-9443

Registered specialties

Optician Primary

Eye and Vision Services Providers Taxonomy 156FX1800X

Other Technician/Technologist providers in Oregon →

Registry record

NPI: 1053402511
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Sep 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.