Individual
LORRAINE WATKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
92295 YOUNGS RIVER RD, ASTORIA, OR 97103-8352
(503) 298-8207
Mailing address
92295 YOUNGS RIVER RD, ASTORIA, OR 97103-8352
(503) 298-8207
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
09/27/2019
Last updated
09/27/2019
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