Individual
MRS. LAUREN E HODGDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1698 E MCANDREWS RD STE 200, MEDFORD, OR 97504
(541) 732-5537
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(541) 732-5537
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201809297NP-PP
OR
Other
Enumeration date
10/30/2014
Last updated
11/04/2019
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