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Individual

LAURA JEAN CHESHIRE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
218 SW 4TH ST, REDMOND, OR 97756-0535
(541) 508-9523
Mailing address
PO BOX 736, REDMOND, OR 97756-0147
(541) 508-9523

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
80046130N1
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
38310
OR
Enumeration date
09/27/2007
Last updated
06/02/2014
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