Individual
LAURA F ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPM LDM
Contact information
Practice address
1608 SE ANKENY ST, PORTLAND, OR 97214-1448
(503) 233-3001
Mailing address
1608 SE ANKENY ST, PORTLAND, OR 97214-1448
(503) 233-3001
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
901597
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000813
—
OR
Enumeration date
03/21/2007
Last updated
07/08/2007
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