Individual
MRS. LAURA BETH FIEBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1010 NW HARRIMAN ST, BEND, OR 97703-1912
(520) 604-0830
Mailing address
61343 ROBIN HOOD LN, BEND, OR 97702-2218
(520) 604-0830
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
20787
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20787
OREGON BOARD OF MASSAGE THERAPY
—
Enumeration date
05/11/2018
Last updated
05/11/2018
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