GRETCHEN CHRISTINE LAKE

ROSEBURG, OR
NPI1972978237
Former NameGRETCHEN CHRISTINE OVEREEM
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2015-12-11
Last Update Date2015-12-11
Business Address
-- GRETCHEN CHRISTINE LAKE
272 MEDICAL LOOP SUITE C
ROSEBURG, OR 97471
Phone number: 541-440-3532
Mailing Address
-- GRETCHEN CHRISTINE LAKE
1600 NW GARDEN VALLEY SUITE 110
ROSEBURG, OR 97471
Phone number: 541-440-3532
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