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Mrs. MARY DIANE ANDERSON --

Individual Provider (NPI-1) Active

Home Health Aide

Provider Information

NPI Number
1992046395
Provider Type
Individual Provider (NPI-1)
Status
Active

Contact & Location

Address
4110 3RD ST, TILLAMOOK, OR, 971412804
Phone
(503) 842-2788

Specialties & Taxonomies

Home Health Aide Primary License: OR #000007279

All Addresses

MAILING

208 DOUGLAS AVE

TILLAMOOK, OR, 971412025

(503) 354-2315

LOCATION

4110 3RD ST

TILLAMOOK, OR, 971412804

(503) 842-2788