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Individual

DR. RAYLENE LORRAINE GORDIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1296 COMMERCIAL ST. SE, SUITE 103, SALEM, OR 97302-4200
(503) 580-0761
(503) 213-5948
Mailing address
37686 KATHLEEN CT, LEBANON, OR 97355-8832
(503) 580-0761
(503) 213-5948

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD19742
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
081356
OR
Enumeration date
11/16/2006
Last updated
03/03/2021
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