Individual
LORRI L HENDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1219 APPLEGATE, PHILOMATH, OR 97370
(541) 929-2922
Mailing address
444 NW ELKS DR, CORVALLIS, OR 97330-3745
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO17453
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
037015
—
OR
Enumeration date
05/11/2006
Last updated
06/05/2009
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