Andrea Ruth Lowry, LPN
Individual provider Active NPI Licensed Practical Nurse · Blue River, OR
NPI 1831670645 · NPPES record last updated Aug 29, 2018
Key facts
- NPI
- 1831670645
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 200930100LPN (OR)
- Practice address
- 52896 McKenzie Hwy
Blue River, OR 97413-9701 - Phone
- (503) 508-6689
- NPI assigned
- Aug 29, 2018
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200930100LPN | OR | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 200930100LPN | OR | Yes |
Addresses
Primary practice location
52896 McKenzie Hwy
Blue River, OR 97413-9701
Mailing address
PO Box 327
Blue River, OR 97413-0327
Phone (503) 508-6689
Other providers in Blue River, OR
- Elizabeth Loree Cramer
- Daisy Cruz
- D & K Harbick Five LLC
- Kristi Ann McKenzie
- Debra M Waddell
- Leslie West
- Nessa Marie Wilson
All providers in Blue River, OR · Licensed Practical Nurse in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 29, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.