Individual
BETHANY LAIRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1050 10TH ST, SPRINGFIELD, OR 97477-4003
(541) 744-4387
Mailing address
1050 10TH ST, SPRINGFIELD, OR 97477-4003
(541) 744-4387
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
201801459RN
OR
Other
Enumeration date
10/24/2024
Last updated
10/24/2024
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