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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. SUSAN MARIE MCMAHON

Deactivated Sole Proprietor

MRS. SUSAN MARIE MCMAHON is a Physical Therapist healthcare provider located in CORVALLIS, Oregon. NPI 1154650463 is deactivated in the NPPES registry. Verify at CMS.

Physical Therapist · CORVALLIS, OR

This NPI has been deactivated. The record was deactivated on January 5, 2010. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1154650463
Provider Type
Individual
Gender
Female
NPI Issued
Dec 15, 2009 (0.057534246575342 yrs)
Last Updated
Dec 20, 2011
Deactivated
Jan 5, 2010
Sole Proprietor
Yes

Practice Information

Address
117 NW 2ND ST
CORVALLIS, OR, 973304719
Browse OR providers · Browse ZIP 97330
Phone
5417529649
Fax
5417530559
Primary Specialty
Physical Therapist
225000000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.