Individual
SANDY LOBDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
335 FAIRVIEW ST, SILVERTON, OR 97381-1916
(503) 873-8686
(503) 873-8689
Mailing address
335 FAIRVIEW ST, SILVERTON, OR 97381-1916
(503) 873-8686
(503) 873-8689
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
90007274
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
210752
—
OR
Enumeration date
07/21/2006
Last updated
01/03/2008
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