Individual
LAUREN TRUXILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
255 LANCASTER DR NE, SALEM, OR 97301-5155
(503) 576-8400
(503) 364-0775
Mailing address
255 LANCASTER DR NE, SALEM, OR 97301-5155
(503) 576-8400
(503) 364-0775
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA169413
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500677322
—
OR
Enumeration date
03/14/2013
Last updated
03/24/2021
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