Individual
KATHRYN L LUEKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1174 CORNUCOPIA ST NW STE 120, SALEM, OR 97304-3193
(503) 399-2424
(503) 375-7429
Mailing address
PO BOX 8100, SALEM, OR 97303-0900
(503) 399-2424
(503) 375-7429
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD181604
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
181604
—
OR
Enumeration date
06/10/2006
Last updated
11/27/2012
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