Individual
LAUREL OKOROFSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1716 WILLIAMS HWY, GRANTS PASS, OR 97527-5661
(541) 474-6053
(541) 474-4527
Mailing address
1716 WILLIAMS HWY, GRANTS PASS, OR 97527-5661
(541) 474-6053
(541) 474-4527
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
017939
NY
363AM0700X
Medical Physician Assistant
Primary
PA187788
OR
Other
Enumeration date
09/22/2014
Last updated
12/03/2019
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