Individual
LORAINE X DECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2411 MARTIN LUTHER KING JR BLVD, EUGENE, OR 97401-5824
(971) 940-9328
Mailing address
PO BOX 2721, PORTLAND, OR 97208-2721
(971) 940-9328
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/07/2018
Last updated
03/07/2018
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