Individual
LAURA QI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3333 RIVERBEND DR, SPRINGFIELD, OR 97477-8800
(541) 222-8400
(541) 222-8401
Mailing address
3333 RIVERBEND DR, SPRINGFIELD, OR 97477-8800
(541) 222-8400
(541) 222-8401
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
2500027942
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2500027942
BNDD
MO
Enumeration date
06/16/2015
Last updated
09/29/2022
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