Individual
LORI MCRAE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP
Contact information
Practice address
1245 NW 4TH ST STE 201, REDMOND, OR 97756-1680
(541) 323-6274
Mailing address
1245 NW 4TH ST STE 201, REDMOND, OR 97756-1680
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
201601498NP-PP
OR
Other
Enumeration date
12/28/2015
Last updated
04/18/2017
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