Healthcare Provider Details

I. General information

NPI: 1124835624
Provider Name (Legal Business Name): ANGELA LEHRMAN NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ANGELA MARIE THOMAS

II. Dates (important events)

Enumeration Date: 12/17/2024
Last Update Date: 02/21/2025
Certification Date: 02/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

930 SW ABBEY ST STE A
NEWPORT OR
97365-4820
US

IV. Provider business mailing address

PO BOX 1189
CORVALLIS OR
97339-1189
US

V. Phone/Fax

Practice location:
  • Phone: 541-265-8816
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number10036504
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: