Individual
DR. ANDREA J LAIDLAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
400 E MAIN ST, #190, HILLSBORO, OR 97123-4191
(503) 648-0859
(503) 640-6364
Mailing address
400 E MAIN ST, #190, HILLSBORO, OR 97123-4191
(503) 648-0859
(503) 640-6364
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
D7471
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
930719168
TID
OR
Enumeration date
10/25/2006
Last updated
05/26/2009
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