Mary Wall, is a
Physical Therapist based in Eugene, Oregon. Mary Wall is licensed to practice in Oregon (license number 1855) and her current practice location is
1446 Lawrence St, Eugene, Oregon. She can be reached at her office (for appointments etc.) via phone at
(541) 683-3274.
NPI number for Mary Wall is 1417135559 and her current mailing address is 1446 Lawrence St, Eugene, Oregon. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1417135559.
Healthcare Provider's Profile
Full Name | Mary Wall |
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Gender | Female |
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Speciality | Physical Therapist |
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Location | 1446 Lawrence St, Eugene, Oregon |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1417135559
- Provider Enumeration Date: 01/31/2008
- Last Update Date: 05/07/2009
Medical Identifiers
Medical identifiers for Mary Wall such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1417135559 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225700000X | Massage Therapist | 7197 (Oregon) | Secondary |
225100000X | Physical Therapist | 1855 (Oregon) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mary Wall is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mary Wall, 1446 Lawrence St, Eugene, OR 97401-4592 Ph: () - | Mary Wall, 1446 Lawrence St, Eugene, OR 97401-4592 Ph: (541) 683-3274 |
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