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Individual

MRS. LAUREN A HODGSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
2925 RYAN DR SE, SALEM, OR 97301-9687
(503) 399-1262
Mailing address
2925 RYAN DR SE, SALEM, OR 97301-9687
(503) 763-7471

Taxonomy

Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
PA175874
OR
363A00000X
Physician Assistant
PA175874
OR

Other

Enumeration date
04/28/2014
Last updated
01/07/2026
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