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MARISSA GARDNER
NPI 1306332010
Technician, Other in Coos Bay, OR

Active since July 05, 2018
1245 FULTON AVE, COOS BAY, OR 97420(541) 888-6433 Get Directions Write a Review

NPPES record last updated: September 17, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 17, 2024, Jul 5, 2018 (2 updates tracked since 2018).

About Marissa Gardner NPPES

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

MARISSA GARDNER (NPI 1306332010) is an individual technician, other provider in Coos Bay, Oregon and active in the NPI registry since July 2018.

NPPES Registry Identity

NPI1306332010
Entity TypeIndividualFemale
Primary Taxonomy247200000X
Provider Legal NameMARISSA GARDNER
Location Address1245 FULTON AVECoos Bay, OR 97420-2895
Mailing Address1245 Fulton AveCoos Bay, OR 97420-2895
Phone(541) 888-6433
Sole ProprietorNo
Enumeration DateJuly 5, 2018
Last NPPES UpdateSeptember 17, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2024
✔ NPI 1306332010 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyTechnician, OtherTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code247200000X
Definition
A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.
Also ListedDental TherapistTaxonomy 125J00000X · License DT0005 (OR)
1245 FULTON AVE, Coos Bay, OR 97420
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Other Providers at the Same Location NPPES 7

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

NAOMI RACHELLE PETRIE
Technician, Other
1245 FULTON AVE
COOS BAY, OR 97420
Coos County (541) 888-6433
PATRICIA ANNE PEYTON RDH
Dental Hygienist
1245 FULTON AVE
COOS BAY, OR 97420
Coos County (541) 888-6433
CONFEDERATED TRIBES OF COOS, LOWER UMPQUA, & SIUSLAW INDIANS
Clinic/Center (Dental)
1245 FULTON AVE
COOS BAY, OR 97420
Coos County (541) 888-6433
SARAH ANN RODGERS
Dentist
1245 FULTON AVE
COOS BAY, OR 97420
Coos County (541) 888-6433
MARY E. WILLIARD DDS
Dentist
1245 FULTON AVE
COOS BAY, OR 97420
Coos County (541) 888-6433
DARYL K REAVIS DMD
Dentist
1245 FULTON AVE
COOS BAY, OR 97420
Coos County (541) 888-6433
LESLIE HOLLINGSWORTH
Dental Hygienist
1245 FULTON AVE
COOS BAY, OR 97420
Coos County (541) 888-6433

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 Marissa Gardner's NPI number?

The NPI number for Marissa Gardner is 1306332010. It was assigned to this individual provider in the NPPES registry on July 5, 2018.

Where is Marissa Gardner located?

Marissa Gardner practices at 1245 Fulton Ave, Coos Bay, OR 97420. The listed phone number is (541) 888-6433.

What is Marissa Gardner's specialty?

The primary specialty registered for this NPI is Technician, Other with taxonomy code 247200000X.

When was this NPI record last updated?

The NPPES record for Marissa Gardner was last updated on September 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.