Most Relevant Information
Provider Data
| NPI Number: | 1003487190 |
| Provider Name: | MARAH ANN OWECKE |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | A12535 |
Most Important Dates
| Enumeration Date: | 07/08/2021 |
| Last Updated: | 07/08/2021 |
Provider Practice Location
607 SW HURBERT ST STE 102
NEWPORT
OR
973654998
Practice Location Phone/Fax
| Phone: | 5412704717 |
| Fax: | 5412725112 |
Provider Mailing Location
PO BOX 2254
NEWPORT
OR
973650166
Provider Mailing Phone/Fax
| Phone: | 5412704717 |
| Fax: | 5412725112 |