MARGE L DETTWILER PNP
NPI 1053353649
Nurse Practitioner - Pediatrics in Salem, OR

Q: What is Marge Dettwiler's NPI number?

The NPI number for Marge Dettwiler is 1053353649. It was assigned to this individual provider in the NPPES registry on June 11, 2006.

Q: What is Marge Dettwiler's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Marge Dettwiler was last updated on October 26, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 11, 2006

2395 CENTER ST NE, SALEM, OR 97301(503) 364-0227(503) 364-0364 Get Directions Write a Review

NPPES record last updated: October 26, 2011. Verified against the NPPES registry weekly; last sync: September 06, 2026.

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About Marge L Dettwiler Pnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARGE L DETTWILER PNP (NPI 1053353649) is an individual pediatrics provider in Salem, Oregon, licensed in Oregon (000027830N2) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1053353649

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameMARGE L DETTWILERCredential: PNP

Location Address2395 CENTER ST NESalem, OR 97301-4464

Mailing Address2395 Center St NeSalem, OR 97301-4464 · (503) 364-0227 · Fax (503) 364-0364

Phone(503) 364-0227

Fax(503) 364-0364

Sole ProprietorNo

Enumeration DateJune 11, 2006

Last NPPES UpdateOctober 26, 2011

✔ NPI 1053353649 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in OR · 000027830N2

2395 CENTER ST NE, Salem, OR 97301

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Other Identifiers 1

Medicaid269714OR

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JON MICHAEL GILBERT M.D., FAAP

Pediatrics

2395 CENTER ST NE
SALEM, OR 97301

Marion County (503) 364-2181

DR. FARA KATRINA ETZEL M.D.

Pediatrics

2395 CENTER ST NE
SALEM, OR 97301

Marion County (503) 364-2181

DR. JAMES KENNETH LACE M.D.

Pediatrics

2395 CENTER ST NE
SALEM, OR 97301

Marion County (503) 364-2181

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marge Dettwiler's NPI number?

The NPI number for Marge Dettwiler is 1053353649. It was assigned to this individual provider in the NPPES registry on June 11, 2006.

Where is Marge Dettwiler located?

Marge Dettwiler practices at 2395 Center St NE, Salem, OR 97301. The listed phone number is (503) 364-0227.

What is Marge Dettwiler's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Marge Dettwiler was last updated on October 26, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.