Individual
MRS. LORRAINE HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
3750 CHEMAWA RD NE, CHEMAWA INDIAN HEALTH CENTER, SALEM, OR 97305-1119
(503) 304-7600
(503) 304-7678
Mailing address
3750 CHEMAWA RD NE, SALEM, OR 97305-1119
(503) 304-7600
(503) 304-7678
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH2422
HI
Other
Enumeration date
12/15/2006
Last updated
07/08/2007
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