Individual
LORENE STANGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
200 GWEE-SHUT RD, OPTOMETRY, SILETZ, OR 97380
(541) 444-9630
Mailing address
PO BOX 1236, NEWPORT, OR 97365-0094
(503) 664-0464
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3623ATI
OR
Other
Enumeration date
10/10/2012
Last updated
08/03/2021
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