Individual
MIRANDA GATHRIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
187 W C ST, LEBANON, OR 97355-3125
(541) 915-2679
Mailing address
187 W C ST, LEBANON, OR 97355-3125
(541) 915-2679
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
OR
Other
Enumeration date
04/30/2017
Last updated
04/30/2017
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