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Marissa Gardner
NPI 1306332010 · on the registry since 2018
Practice
- Address
- 1245 Fulton Ave
Coos Bay, OR 97420 - Phone
- (541) 888-6433
- Organisation at this address
- Confederated Tribes Of Coos, Lower Umpqua, & Siuslaw Indians
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 7
Registry record
- Primary taxonomy
- 247200000X
247200000X
- Also registered as
- 125J00000X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-09-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon