Individual
LOREN PETERSON POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10180 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-8970
(503) 813-2000
Mailing address
6125 SE LAMBERT ST, PORTLAND, OR 97206-8159
(251) 802-3958
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
10028832
OR
390200000X
Student in an Organized Health Care Education/Training Program
201705986
OR
Other
Enumeration date
06/29/2021
Last updated
09/03/2024
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