Individual
LORRA HAMMERQUIST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4455 NE HIGHWAY 20, CORVALLIS, OR 97330-9695
(541) 758-5900
Mailing address
4455 NE HIGHWAY 20, CORVALLIS, OR 97330-9695
(541) 758-5900
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
202213311LPN
OR
Other
Enumeration date
04/17/2024
Last updated
04/17/2024
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