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Individual

LAURA NEPVEU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
19250 SW 65TH AVE, SUITE #255, TUALATIN, OR 97062-7452
(503) 692-5300
(503) 692-5331
Mailing address
19250 SW 65TH AVE, SUITE #255, TUALATIN, OR 97062-7452
(503) 692-5300
(503) 692-5331

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD18304
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
073200
OR
01
370014245
RAILROAD MEDICARE
OR
Enumeration date
04/07/2006
Last updated
02/09/2009
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