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Individual

ERIN ELIZABETH GUILIANO LICHY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
930 SW ABBEY ST STE A, NEWPORT, OR 97365-4820
(541) 265-8816
(541) 812-2069
Mailing address
PO BOX 2847, CORVALLIS, OR 97339-2847

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO193147
OR
207Q00000X
Family Medicine Physician
PG177146
OR

Other

Enumeration date
04/27/2016
Last updated
03/15/2021
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