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Individual

FRANK KING LORD III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
342 FAIRVIEW ST, SILVERTON, OR 97381-1917
(503) 873-1690
(503) 873-1656
Mailing address
342 FAIRVIEW ST, SILVERTON, OR 97381-1917
(503) 873-1690
(503) 873-1656

Taxonomy

Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
Primary
MD09064
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110361
OR
Enumeration date
05/31/2007
Last updated
03/07/2023
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