| Doctor Name: | MARY JO SWANER |
| NPI Number: | 1215010160 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN,BSN |
| License Number: | |
| Business Practice Address: | 69005 Quail Tree Dr Sisters, OR - 977599772 |
| Business Phone Number: | 5419236290 |
| Business Fax Number: | 5419238272 |
| Mailing Address: | 69005 Quail Tree Dr, SISTERS |
| State: | OR |
| Postal Code: | 977599772 |
| Phone Number: | 5419236290 |
| Fax Number: | 5419238272 |
| NPI Enumeration Date: | 10/23/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WC1500X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OR |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Community Health |
| Taxonomy Definition: | |