Individual
SANDRA EUGENIA LOHSTROH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
178 SW 2ND AVE, CANBY, OR 97013-4152
(503) 416-4547
(503) 416-4553
Mailing address
13927 SE TENINO ST, PORTLAND, OR 97236-6633
(503) 956-7850
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201808979NP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500764500
—
OR
Enumeration date
10/18/2017
Last updated
12/18/2020
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