Individual
MRS. LAURA E PENKAVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RRT
Contact information
Practice address
1135 DALE ST SE, SUITE C, ALBANY, OR 97322-5392
(541) 791-7724
(541) 791-7400
Mailing address
31792 BRYANT WAY SW, ALBANY, OR 97321-1854
(541) 791-7724
(541) 791-7400
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
RT-P-1004437
OR
Other
Enumeration date
11/05/2009
Last updated
11/05/2009
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