Individual
MISS LAURA BETH GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
7435 SW 49TH CT, PORTLAND, OR 97219-1493
(503) 884-1970
Mailing address
7435 SW 49TH CT, PORTLAND, OR 97219-1493
(503) 884-1970
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
201405197RN
OR
Other
Enumeration date
01/08/2015
Last updated
01/08/2015
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