Individual
LAURA SELBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2275 NE DOCTORS DR STE 6, BEND, OR 97701-6092
(541) 706-7734
(541) 706-7794
Mailing address
PO BOX 6095, BEND, OR 97708-6095
(541) 706-5922
(541) 706-6869
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
PG183133
OR
207RI0200X
Infectious Disease Physician
Primary
DO208990
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500749154
—
OR
01
—
DO208990
OREGON LICENSE
OR
Enumeration date
03/27/2015
Last updated
05/13/2026
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