Patricia D. Luckeroth
Surgeon Surgery of the Hand
665 Winter St Se
Salem
, Oregon 97301-3934
Patricia D. Luckeroth
Surgeon Surgery of the Hand
665 Winter St Se
Salem
, Oregon 97301-3934
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About
Features
Specialties
- Surgeon
- Surgery of the Hand
Languages spoken
- English
Location
First Address
- Patricia D. Luckeroth
- Po Box 13129
- Salem, OR
- Zip : 97309-1129
- Phone :
Second Address
- Patricia D. Luckeroth
- 665 Winter St Se
- Salem, OR
- Zip : 97301-3934
- Phone : (503) 561-2448
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What type of doctor is Patricia D. Luckeroth
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Is Patricia D. Luckeroth accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208200000X | Surgeon | 225417 | MA |
| N | 208600000X | Surgeon | 225417 | MA |
| Y | 208200000X | Surgeon | MD175434 | OR |
| Y | 208600000X | Surgeon | MD175434 | OR |
| N | 2086S0105X | Surgery of the Hand | A116738 | CA |
National Provider Identifier
| NPI | 1932252970 |
|---|---|
| Provider Name | Patricia D. Luckeroth |
| First Address | Salem, OR 97309-1129 |
| Second Address | Salem, OR 97301-3934 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/01/2007 |
| Last Update Date | 11/01/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.