Individual
RAE LYNN SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
966 12TH ST SE STE 130, SALEM, OR 97302-2860
(503) 837-6395
Mailing address
966 12TH ST SE STE 130, SALEM, OR 97302-2860
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0050882
OR
Other
Enumeration date
10/29/2025
Last updated
03/26/2026
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