Individual
MS. LAURA WHEATON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
501 E 1ST ST, NEWBERG, OR 97132-2909
(503) 807-4882
Mailing address
501 E 1ST ST, NEWBERG, OR 97132-2909
(503) 807-4882
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/24/2012
Last updated
03/30/2014
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