Individual
LAURA A MCGUIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4805 NE GLISAN ST UNIT 3K, PORTLAND, OR 97213-2933
(503) 215-6150
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494
(360) 944-6930
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
MD00047898
WA
207V00000X
Obstetrics & Gynecology Physician
Primary
MD172428
OR
207V00000X
Obstetrics & Gynecology Physician
RT1185
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8490039
—
WA
Enumeration date
10/05/2006
Last updated
03/22/2021
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