Laura Dillard, NURSE PRACTITIONER
Nurse Practitioner, Psych/Mental Health in Happy Valley, Oregon
1083036990- Practice location
- 10822 SE 82ND Ave, Happy Valley, OR 97086
- Phone
- 503-239-8400
- Fax
- —
- Last updated
- June 4, 2024
Laura Dillard, NURSE PRACTITIONER is a Nurse Practitioner, Psych/Mental Health based in Happy Valley, OR. Laura Dillard, NURSE PRACTITIONER holds the professional credentials of NURSE PRACTITIONER. The NPI number for Laura Dillard, NURSE PRACTITIONER is 1083036990 and holds license No. 201142492RN (OR). The current practice location address is 10822 SE 82ND Ave, Happy Valley, OR 97086 and the office can be reached by phone at 503-239-8400. The NPI was assigned on January 11, 2014 and the record was last updated in NPPES on June 4, 2024.
●Provider Profile Details
- NPI Number
- 1083036990
- Provider Name
- Laura Dillard
- Credential
- NURSE PRACTITIONER
- Entity Type
- Individual (Type 1 NPI)
- Gender
- Female
- Primary Taxonomy
- Nurse Practitioner, Psych/Mental Health · 363LP0808X
- Sole Proprietor
- No
- Enumeration Date
- January 11, 2014
- Last Update Date
- June 4, 2024
- Certification Date
- June 4, 2024
- NPI Status
- Active
- Other Names
- -- Laura Iwata, RN (Former Name)
◉Business Practice Location Address
- Address
- 10822 SE 82ND Ave
Happy Valley, OR 97086 - City
- Happy Valley
- State
- Oregon
- ZIP
- 97086
- Country
- US
- Phone Number
- 503-239-8400
✉Business Mailing Address
- Address
- 1027 E Burnside St
Portland, OR 97214-1328 - City
- Portland
- State
- OR
- ZIP
- 97214-1328
- Phone Number
- 503-239-8400
- Fax Number
- 503-296-2022
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | No | 201142492RN | OR |
| Nurse Practitioner, Family | 363LF0000X | No | 201705362NP-PP | OR |
| Nurse Practitioner, Psych/Mental Health | 363LP0808X | Yes | 201705362NP-PP | OR |
#Other Provider Identifiers
No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.
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View all providers in Happy Valley →?Frequently Asked Questions
What is the NPI number of Laura Dillard, NURSE PRACTITIONER?
The NPI number of Laura Dillard, NURSE PRACTITIONER is 1083036990. It was assigned on January 11, 2014 and is currently active in the NPPES registry.
What is the specialty of Laura Dillard, NURSE PRACTITIONER?
Laura Dillard, NURSE PRACTITIONER is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X) and holds license No. 201142492RN (OR).
Where does Laura Dillard, NURSE PRACTITIONER practice?
The practice location is 10822 SE 82ND Ave, Happy Valley, OR 97086. The office can be reached at 503-239-8400 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1083036990 directly on the NPPES registry website at npiregistry.cms.hhs.gov.