Individual
IRMA GABRIELA LAINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
825 NW HIGHWAY 101 STE A, LINCOLN CITY, OR 97367-3241
(541) 996-7480
Mailing address
PO BOX 1189, CORVALLIS, OR 97339-1189
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA185734
OR
Other
Enumeration date
05/06/2016
Last updated
10/28/2024
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