Healthcare Provider Details

I. General information

NPI: 1043832041
Provider Name (Legal Business Name): LORIE ANN KELLEY NORTON APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: LORIE A NORTON NP

II. Dates (important events)

Enumeration Date: 05/12/2020
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

36 SW NYE ST
NEWPORT OR
97365-3821
US

IV. Provider business mailing address

36 SW NYE ST
NEWPORT OR
97365-3821
US

V. Phone/Fax

Practice location:
  • Phone: 541-265-4947
  • Fax:
Mailing address:
  • Phone: 541-265-4947
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number202204512NP-PP
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: