Marilyn Mull L.C.S.W. PC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

1242 Issued in OR

Legal business name

MARILYN MULL L.C.S.W. PC

Practice address

1012 SE Oak Ave
347
Roseburg, OR 97470-4985

Phone

(541) 672-7142

NPI assigned

May 3, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Marilyn Mull, LCSW

Title

President

Phone

(541) 672-7142

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1209772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209772800000",
    "number": "1295901809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1516",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974700358",
            "telephone_number": "541-672-7142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 SE OAK AVE",
            "address_2": "347",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974704985",
            "telephone_number": "541-672-7142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARILYN MULL L.C.S.W. PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-03",
        "last_updated": "2008-05-03",
        "status": "A",
        "authorized_official_last_name": "MULL",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-672-7142",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "OR",
            "license": "1242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Autumn Faye Mann
• Amanda M Manning, P.A.
• Jennifer J Manson, FNP-C
• Angelina C. Marez, CHW
• Michael Marietta, M.D.
• Daniela O Marjanovic, MD
• Mark R Driver DMD PC
• Karla Markham, PHARMD
• Katherine O'Malley Marks, PHARMD
• Evelyn Kay Marlow, RN

• All providers in Roseburg, OR
• Adult Mental Health Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.