Individual
DR. LAURA ANN FOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
707 SW GAINES ST, PORTLAND, OR 97239-2901
(800) 452-3563
Mailing address
707 SW GAINES ST, PORTLAND, OR 97239-2901
(800) 452-3563
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10033
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
61257028
—
CO
Enumeration date
07/23/2008
Last updated
07/16/2009
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