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Individual

DR. LORNE M CROSS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1160 LIBERTY ST SE, SALEM, OR 97302-4143
(503) 391-9762
(503) 315-2019
Mailing address
PO BOX 2040, PORTLAND, OR 97208-2040
(503) 299-9906
(503) 225-9002

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
G80144
CA
207L00000X
Anesthesiology Physician
MD27400
OR
207LA0401X
Addiction Medicine (Anesthesiology) Physician
Primary
MD27400
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
006097
OR
05
8484024
WA
01
P00696847
RR MEDICARE
OR
Enumeration date
08/30/2006
Last updated
12/04/2023
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