Individual
ANDREA RUTH LOWRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
52896 MCKENZIE HWY, BLUE RIVER, OR 97413-9701
(503) 508-6689
Mailing address
PO BOX 327, BLUE RIVER, OR 97413-0327
(503) 508-6689
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
200930100LPN
OR
Other
Enumeration date
08/29/2018
Last updated
08/29/2018
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