Individual
LORI MUNCRIEF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
890 OAK ST SE, SALEM, OR 97301-3905
(503) 561-5200
Mailing address
PO BOX 13129, SALEM, OR 97309-1129
(503) 561-2448
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
202213115NP-PP
OR
Other
Enumeration date
08/25/2022
Last updated
10/04/2022
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