Individual
LAURA M ROE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LDEM
Contact information
Practice address
487 ROCK ST, ASHLAND, OR 97520-1634
(541) 482-6067
(541) 482-6067
Mailing address
487 ROCK ST, ASHLAND, OR 97520-1634
(541) 482-6067
(541) 482-6067
Taxonomy
Speciality
Code
Description
License number
State
175M00000X
Lay Midwife
Primary
0618606833
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000316
—
OR
Enumeration date
04/26/2007
Last updated
07/09/2007
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