Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mary Clyde

Individual provider Social Worker · NPI 1023747714

Mary Clyde is a Social Worker in Roseburg, Oregon. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

220 Westridge Ln
Roseburg, OR 97471-8683
Phone: (240) 988-1627
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X

Record details

NPI number1023747714
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 7, 2022
Last updated in NPPESJune 7, 2022
Certification dateJune 7, 2022
Mailing address220 Westridge Ln, Roseburg, OR 97471-8683

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