Individual
LAURIE RICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1501 NE MEDICAL CENTER DR, BEND, OR 97701-6051
(541) 382-2811
Mailing address
1501 NE MEDICAL CENTER DR, BEND, OR 97701-6051
(541) 382-2811
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
201150152NP
OR
363LA2200X
Adult Health Nurse Practitioner
209002092
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500640637
—
OR
01
—
P01071080
MEDICARE RAILROAD
OR
Enumeration date
09/14/2006
Last updated
04/11/2013
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