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Individual

CHERYL A LUGENBILL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
939 OAK ST SE, SALEM, OR 97301
(503) 561-2229
(503) 561-2745
Mailing address
PO BOX 14001, WILLAMETTE VALLEY PROFESSIONAL SERVICES, SALEM, OR 97309-5014
(503) 561-2490
(503) 561-2745

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD054648
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
054648
OR
Enumeration date
06/02/2006
Last updated
01/10/2008
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