Individual provider · Type 1 NPI

Mary Caitlin Moriarty

Student in an Organized Health Care Education/Training Program · Mcminnville, OR

NPI number 1780183202 Active

Practice location

190 SW Brumback St
Mcminnville, OR 97128-6899

Call (360) 620-9113 Map

Mailing address

19415 Schooner Ct NE
Poulsbo, WA 98370-8590

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1780183202

Mary Caitlin Moriarty's National Provider Identifier is 1780183202, issued on Feb 10, 2018. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Mcminnville, OR. The record was last updated on Feb 10, 2018.