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Individual

LAUREN A GORENCE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
12442 SW SCHOLLS FERRY RD STE 100, TIGARD, OR 97223-0803
(503) 216-9200
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA213688
OR
363AM0700X
Medical Physician Assistant
21637
CA

Other

Enumeration date
05/25/2011
Last updated
04/21/2023
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