Mary Alyse Conley, LMT
Specialist in Medford, OR. Individual provider (NPI-1).
NPI number1194080069
StatusActive
Last updated in NPPESMay 8, 2023
Details
- NPI
- 1194080069
- Entity type
- Individual (NPI-1)
- Name
- Ms. Mary Alyse Conley
- Credential
- LMT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 6, 2012
- Certification date
- May 8, 2023
- Last updated
- May 8, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | 18674 | OR | Yes |
Practice location
107 E Main St Ste 30Medford, OR 97501-6022
Phone 541-973-1137
Mailing address
107 E Main St Ste 30Medford, OR 97501-6022
Phone 541-973-1137
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