Individual
DR. LAURA M OUELLETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1700 GEARY ST SE, ALBANY, OR 97322-6842
(541) 812-5570
(541) 812-5699
Mailing address
1700 GEARY ST SE, ALBANY, OR 97322-6842
(541) 812-5570
(541) 812-5699
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD15750
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
015388000
BCBS
—
01
—
0187364
WA L&I
—
01
—
044636
MARION POLK CHP
—
05
—
044636
—
OR
05
—
8398588
—
WA
01
—
8938593
WA CRIME VICTIMS
—
01
—
A03419
PROVIDENCE
—
Enumeration date
06/12/2006
Last updated
03/06/2013
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