NPI 1154650463
Susan Marie McMahon
Practice location
- Address
- 117 NW 2nd St, Corvallis, OR 97330-4719
- Phone
- (541) 752-9649
- Fax
- (541) 753-0559
Registered specialties
Orthotic Fitter
Primary
Registry record
- NPI
- 1154650463
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 15 Dec 2009
- Record last updated
- 20 Dec 2011
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.