LORELYN FERNWEH

PORTLAND, OR
NPI1225182306
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: OR  PA01180)
Enumeration Date2007-01-23
Last Update Date2023-03-24
Business Address
LORELYN FERNWEH PA
2180 NE 47TH AVE APT 501
PORTLAND, OR 97213-2093
Phone number: 503-307-1458
Mailing Address
LORELYN FERNWEH PA
PO BOX 3158
PORTLAND, OR 97208-3158
Phone number: 503-215-6494