Individual
MEGAN GAUGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3332 SE 7TH AVE, PORTLAND, OR 97202-2702
(503) 260-5602
Mailing address
3332 SE 7TH, PORTLAND, OR 97202
(503) 260-5602
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
201392074LPN
OR
Other
Enumeration date
04/28/2016
Last updated
04/28/2016
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