Individual
LAURA L EPTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9701 SW BARNES RD STE 150, PORTLAND, OR 97225-6689
(503) 734-3535
(503) 734-3530
Mailing address
7650 SW BEVELAND RD STE 200, PORTLAND, OR 97223-8692
(503) 601-3615
(503) 646-1683
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA60108219
WA
363AS0400X
Surgical Physician Assistant
Primary
PA166658
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2062358
—
WA
05
—
500709518
—
OR
Enumeration date
09/15/2009
Last updated
12/09/2024
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