Individual
MRS. TRISHA K LOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
781 W CENTRAL, SUTHERLIN, OR 97479
(541) 459-0303
(541) 459-1657
Mailing address
781 W CENTRAL, SUTHERLIN, OR 97479
(541) 459-0303
(541) 459-1657
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
10/17/2019
Last updated
01/14/2020
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