Provider Demographics
NPI:1740724194
Name:MCGLAUFLIN, MARY ANN (ND)
Entity type:Individual
Prefix:DR
First Name:MARY ANN
Middle Name:
Last Name:MCGLAUFLIN
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:835 GARVORD ST
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:OR
Mailing Address - Zip Code:97355-3804
Mailing Address - Country:US
Mailing Address - Phone:503-537-7862
Mailing Address - Fax:
Practice Address - Street 1:835 GARVORD ST
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:OR
Practice Address - Zip Code:97355-3804
Practice Address - Country:US
Practice Address - Phone:503-537-7862
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-12-05
Last Update Date:2021-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR1047R175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath