Individual
LAURA SUZANN HAMPTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
10345 SW MCDONALD ST, TIGARD, OR 97224-4854
(503) 620-2960
Mailing address
19200 NW ENGER LN, YAMHILL, OR 97148-8105
(503) 662-4428
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
201811342LPN
OR
Other
Enumeration date
12/28/2018
Last updated
12/28/2018
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