Individual
MS. LORI FARMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1623 N 1ST ST, HERMISTON, OR 97838-1106
(458) 300-9014
(458) 300-9015
Mailing address
62115 MEADOW WAY E, ENUMCLAW, WA 98022-8074
(253) 569-8079
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
60511314
WA
363A00000X
Physician Assistant
Primary
PA216285
OR
Other
Enumeration date
10/29/2014
Last updated
08/09/2023
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