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Marcia Macomber

Massage Therapist in Corvallis, OR. Individual provider (NPI-1).

NPI number1760142012
StatusActive
Last updated in NPPESDec 28, 2021

Details

NPI
1760142012
Entity type
Individual (NPI-1)
Name
Marcia Macomber
Sex
Female
Sole proprietor
Yes
Enumeration date
Dec 28, 2021
Certification date
Dec 28, 2021
Last updated
Dec 28, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225700000X Massage Therapist17622ORYes
163WM0102X Registered Nurse, Maternal Newborn201705692RNOR

Practice location

442 Nw 3rd St
Corvallis, OR 97330-6403

Phone 541-760-2538

Mailing address

650 Se Vera Ave
Corvallis, OR 97333-1219

Phone 541-760-2538

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