Individual
LAURA ELIZABETH SEVERANCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2451 20TH AVE SE, ALBANY, OR 97322-5437
(541) 981-3537
Mailing address
2451 20TH AVE SE, ALBANY, OR 97322-5437
(541) 981-3537
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
200941907RN
OR
Other
Enumeration date
09/23/2009
Last updated
09/23/2009
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