Individual
MRS. LORI JEAN GAMBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
455 SW 14TH CT, CANBY, OR 97013-8815
(503) 860-5838
Mailing address
455 SW 14TH CT, CANBY, OR 97013-8815
(503) 860-5838
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
090000430
OR
Other
Enumeration date
03/08/2013
Last updated
03/08/2013
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