Individual
MS. LORRAINE SYKES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4777 SW 11TH ST, GRESHAM, OR 97080-4320
(503) 481-7062
Mailing address
4777 SW 11TH ST, GRESHAM, OR 97080-4320
(503) 481-7062
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
086005042LPN
OR
Other
Enumeration date
11/09/2012
Last updated
11/09/2012
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