Individual
LORETTA CHURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1001 MOLALLA AVE STE 100, OREGON CITY, OR 97045-3753
(503) 656-5273
(503) 650-4828
Mailing address
PO BOX 1517, PENDLETON, OR 97801-0410
(877) 708-1119
(541) 278-8349
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA202993
OR
Other
Enumeration date
01/29/2019
Last updated
11/06/2025
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