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Individual

MRS. LINDSAY RAE OWEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRM

Contact information

Practice address
120 N EVEREST ST STE A, NEWBERG, OR 97132-2116
(503) 538-7647
(503) 538-9015
Mailing address
120 N EVEREST ST STE A, NEWBERG, OR 97132-2116
(503) 538-7647
(503) 538-9015

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
17-CRM-171
OR

Other

Enumeration date
04/04/2018
Last updated
04/04/2018
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