Individual
LAURA A MATLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2640 BIEHN ST STE 1, KLAMATH FALLS, OR 97601
(541) 205-6890
(541) 205-6899
Mailing address
2405 LEROY ST, KLAMATH FALLS, OR 97601
(330) 888-9375
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
008025
AZ
207V00000X
Obstetrics & Gynecology Physician
DO.1710
AL
207V00000X
Obstetrics & Gynecology Physician
Primary
DO205865
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/30/2015
Last updated
11/05/2021
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