LAVENA H MCCULLUM

SALEM, OR
NPI1235628645
Former NameLAVENA MARIE HAY
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: OR  10021776)
Enumeration Date2018-05-02
Last Update Date2026-04-21
Business Address
LAVENA H MCCULLUM APRN
401 RATCLIFF DR SE STE 110
SALEM, OR 97302-4576
Phone number: 541-224-8110
Mailing Address
LAVENA H MCCULLUM APRN
710 E FOOTHILLS DR STE 104
NEWBERG, OR 97132-6125
Phone number: 541-224-8110