Individual
MS. LAURA DALE FLEENER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5725 SW FLORIDA ST, PORTLAND, OR 97219-1219
(503) 764-9322
Mailing address
5725 SW FLORIDA ST., PORTLAND, OR 97219
(503) 764-9322
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
200430450LPN
OR
Other
Enumeration date
08/03/2010
Last updated
08/03/2010
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