-- MARGE L DETTWILER -- PNP
Individual Provider (NPI-1)
Active
Nurse Practitioner, Pediatrics
Provider Information
- NPI Number
1053353649- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PNP
- Status
- Active
Contact & Location
- Address
- 2395 CENTER ST NE, SALEM, OR, 973014464
- Phone
- (503) 364-0227
- Fax
- (503) 364-0364
Specialties & Taxonomies
Nurse Practitioner, Pediatrics
Primary License: OR #000027830N2