Individual
LAURA K BYERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239
(503) 494-8562
(503) 418-5505
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-8562
(503) 418-5505
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD188346
OR
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
MD188346
OR
Other
Enumeration date
06/29/2012
Last updated
07/20/2018
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