| Doctor Name: | MS. MARY L FEY |
| NPI Number: | 1134157332 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | 084054259N1FNPPP |
| Business Practice Address: | 38843 Dexter Rd Dexter, OR - 974319775 |
| Business Phone Number: | 5419372134 |
| Business Fax Number: | 5419371370 |
| Mailing Address: | 1115 Se 164th Ave Dept 358, VANCOUVER |
| State: | WA |
| Postal Code: | 986838004 |
| Phone Number: | 5417675200 |
| Fax Number: | 5417675310 |
| NPI Enumeration Date: | 06/28/2006 |
| NPI Last Update Date: | 03/10/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 084054259N1FNPPP |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OR |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |