Individual
MS. LAURA C. MORTENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
9040 REID STREET, ATTN: MCHJ-CLQ-C, MADIGAN ARMY MEDICAL CENTER, TACOMA, WA 98431-1000
(253) 968-1110
(877) 874-1031
Mailing address
9040 REID STREET, ATTN: MCHJ-CLQ-C, MADIGAN ARMY MEDICAL CENTER, TACOMA, WA 98431-1000
(253) 968-1110
(877) 874-1031
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
60564460
WA
Other
Enumeration date
11/19/2015
Last updated
11/19/2015
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