Individual
MARY JOAN E LAUFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHCNP
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, KPV 7M, PORTLAND, OR 97239-3011
(503) 418-8048
Mailing address
3181 SW SAM JACKSON PARK RD, MAIL CODE KPVC, PORTLAND, OR 97239-3011
(503) 418-8048
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
200650059NP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0157152
L&I
WA
05
—
274210
—
OR
05
—
9633264
—
WA
Enumeration date
07/09/2006
Last updated
02/20/2013
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