Individual
INGRID MARIE LORENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
12607 SE MILL PLAIN BLVD, VANCOUVER, WA 98684-6055
(360) 418-6001
Mailing address
3439 NW SAVIER ST, PORTLAND, OR 97210-1938
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
087006461N7
OR
363LW0102X
Women's Health Nurse Practitioner
Primary
AP30006538
WA
Other
Enumeration date
08/17/2006
Last updated
07/08/2007
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