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Individual

LINDA CHRISTENSEN DEACON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
675 N 5TH ST STE 200, LEBANON, OR 97355-2875
(541) 451-6282
Mailing address
PO BOX 1193, CORVALLIS, OR 97339-1193

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
G77800
CA
207V00000X
Obstetrics & Gynecology Physician
Primary
MD174218
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G778000
CA
Enumeration date
08/08/2006
Last updated
03/15/2021
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