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NPI Code Detail

MEDICARE: MS. LORA JEAN HURLBURT R.N.

MEDICARE: MS. LORA JEAN HURLBURT R.N.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WC1500XCommunity Health Registered NurseOR

General Provider Information

NPI Number : 1275634420
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LORA JEAN HURLBURT R.N.
Provider Business Mailing Address
First Line : 3180 CENTER ST NE
Second Line :
City : SALEM
State : OR
Zip : 97301-4532
Country : US
Telephone Number : 503-581-2385
Fax Number : 503-371-1635
Provider Business Practice Location Address
First Line : 3180 CENTER ST NE
Second Line :
City : SALEM
State : OR
Zip : 97301-4532
Country : US
Telephone Number : 503-581-2385
Fax Number : 503-371-1635
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/26/2006
Last Update Date : 02/29/2008

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