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Individual

MRS. LAUREL PLAHUTA EWING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APN-CFNP

Contact information

Practice address
25117 SW PARKWAY AVE STE B, WILSONVILLE, OR 97070-9697
(503) 783-7243
Mailing address
25117 SW PARKWAY AVE STE B, WILSONVILLE, OR 97070-9697
(503) 783-7243

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201406452NP-PP
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500704362
OR
Enumeration date
04/20/2007
Last updated
03/08/2017
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