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

Mary M Self, ABOC

Individual provider Optician · NPI 1053402511

Mary M Self, ABOC is an Optician in Salem, Oregon. Licensed in Oregon. Registered with an NPI since 2006.

Licensed in
OR
In the registry since
2006

Practice location Address checks out

2400 Lancaster Dr NE
Salem, OR 97305-1221
Phone: (503) 370-4851
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optician (primary) Taxonomy 156FX1800X (OR)

Record details

NPI number1053402511
Entity typeIndividual (Type 1)
GenderFemale
Credentials ABOC
Sole proprietorNo
NPI enumeratedSeptember 27, 2006
Last updated in NPPESJuly 8, 2007
Mailing address6200 Treehouse Rd, Monmouth, OR 97361-9443

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