Individual
LAURA BLEVINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ND
Contact information
Practice address
4036 S 6TH ST STE 2, KLAMATH FALLS, OR 97603-4750
(541) 851-9320
(541) 851-9322
Mailing address
4036 S 6TH ST STE 2, KLAMATH FALLS, OR 97603-4750
(541) 851-9320
(541) 851-9322
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
3053
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500694147
—
OR
Enumeration date
10/06/2015
Last updated
07/09/2018
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