Individual
MS. LAUREL KATHLEEN HAIGH GORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
9100 ROOSEVELT WAY NE, SUITE 103, SEATTLE, WA 98115-2852
(206) 300-6227
Mailing address
11323 14TH AVE NE, SEATTLE, WA 98125-6313
(206) 300-6227
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00014539
WA
Other
Enumeration date
04/12/2007
Last updated
07/08/2007
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