# LAUREL A GORHAM

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1356360499
- **Gender:** F
- **Credential:** C.P.N.P.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | AP60553305 | WA | Yes |
| 363LP0200X | Pediatric Nurse Practitioner | 201507531NP-PP | OR | — |
| 363LP0200X | Pediatric Nurse Practitioner | AP60553305 | WA | — |

## Other

- **Enumeration date:** 07/19/2006
- **Last updated:** 02/21/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2044559 | — | WA |
| 05 | — | 2972474/10 | — | MI |
| 05 | — | 500693438 | — | OR |