Individual
LYDIA CHUNG LAFFITTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2480 LIBERTY ST NE STE 180, SALEM, OR 97301-8388
(503) 371-1010
(503) 371-0805
Mailing address
2480 LIBERTY ST NE STE 180, SALEM, OR 97301-8388
(503) 371-1010
(503) 371-0805
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA224300
OR
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
07/11/2023
Last updated
01/20/2026
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