Individual
LAURA TOPP MAHAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
4805 NE GLISAN ST, STE 6N50, PORTLAND, OR 97213-2933
(503) 215-1350
(503) 215-1349
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494
(503) 215-6644
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
080045359N3
OR
363LA2200X
Adult Health Nurse Practitioner
080045359RN
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
124367
—
OR
Enumeration date
09/20/2006
Last updated
06/02/2011
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