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Contact Information

MARGE L DETTWILER, PNP
2395 CENTER ST NE
SALEM, OR97301-4464
 Phone: 503-364-0227
 Fax: 503-364-0364
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

363LP0200X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for MARGE L DETTWILER · (Female)

NPI # 1053353649
Status Active
Credentials PNP
Entity Individual
Enumeration date 06/11/2006
Last updated 10/26/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • OR License # 000027830N2
  • OR Medicaid 269714
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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