Individual
DR. LAUREN ILONA WIKHOLM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9200 SE 91ST AVE, STE 200, HAPPY VALLEY, OR 97086-3756
(971) 801-1373
Mailing address
9200 SE 91ST AVE, STE 200, HAPPY VALLEY, OR 97086-3756
(971) 801-1373
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD178101
OR
208600000X
Surgery Physician
MD60810172
WA
208600000X
Surgery Physician
R72742
AZ
Other
Enumeration date
07/07/2011
Last updated
04/11/2022
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