Individual
LORI NEWPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 MULLINS DR STE A1, LEBANON, OR 97355-2868
(541) 451-6920
(541) 451-6924
Mailing address
530 NW 27TH ST, CORVALLIS, OR 97330-5223
(541) 766-6835
(541) 766-6186
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
04/11/2019
Last updated
04/11/2019
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