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Individual

AUDREY MARGARETH LUSBY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DC

Contact information

Practice address
717 1/2 E FIRST ST, NEWBERG, OR 97132
(503) 538-9867
(503) 554-8388
Mailing address
717 1/2 E FIRST ST, NEWBERG, OR 97132
(503) 538-9867
(503) 554-8388

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2443
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
032701
OR
Enumeration date
08/31/2006
Last updated
07/08/2007
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