Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 4096 | OR |
NPI | 1114437001 |
---|---|
Provider Name | Dr. Lorraine Ferron |
First Address | La Grande, OR 97850-1558 |
Second Address | La Grande, OR 97850-2533 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/10/2017 |
Last Update Date | 16/04/2020 |