Individual
LORI JANEEN RICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
THW000003028
Contact information
Practice address
4101 NE DIVISION ST, GRESHAM, OR 97030-4617
(503) 666-6575
Mailing address
4101 NE DIVISION ST, GRESHAM, OR 97030-4617
(503) 666-6575
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
THW000003028
OR
Other
Enumeration date
10/29/2018
Last updated
10/29/2018
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