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General NPI Number Information
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NPI Number | 1821030578
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Entity Type | Individual
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Provider Name | MAY A. HINDMARSH M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/10/2006
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Last Update Date | 08/17/2021
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Provider Practice Location Address
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Address Line | 1023 MAIN ST
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City | SWEET HOME
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State | OR
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Zip | 97386-1515
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Country | US
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Telephone | 541-255-1234
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Fax | 541-255-1366
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Provider Business Mailing Address
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Address Line | 1023 MAIN ST
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City | SWEET HOME
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State | OR
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Zip | 97386-1515
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Country | US
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Telephone | 541-255-1234
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Fax | 541-255-1366
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD18681
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License Number State | OR
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