Individual
LAURA E NIELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
306 WHARF ST, BROOKINGS, OR 97415-0401
(877) 408-8941
(541) 813-2536
Mailing address
PO BOX 1121, ROSEBURG, OR 97470-0254
(541) 672-2691
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
06/07/2023
Last updated
06/07/2023
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