Individual
LORIN PURIFOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1427 NW 23RD AVE, #6, PORTLAND, OR 97210-2660
(971) 227-7186
Mailing address
1427 NW 23RD AVE, PORTLAND, OR 97210-2660
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
15726
OR
Other
Enumeration date
11/16/2011
Last updated
11/16/2011
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