person
Laura C Smith, PA
Medical Physician Assistant in Roseburg, Oregon
NPI 1366428203

Laura C Smith is a Medical Physician Assistant based in Roseburg, OR and is specialized in Medical. Laura C Smith practices in Roseburg, OR and has the professional credentials of PA. The NPI Number for Laura C Smith is 1366428203 and holds a License No. PA00905 (Oregon).

The current practice location address for Laura C Smith is 1813 W Harvard Ave Ste 310, Roseburg, OR and can be reached out via phone at 541-672-7546 and via fax at 541-675-8446. You can also correspond with Laura C Smith through the mailing address at 1813 W HARVARD STE 310, ROSEBURG, OR - 97470-5653 (mailing address contact number: 541-672-7546).

Location: 1813 W Harvard Ave Ste 310, Roseburg, OR, 97470-5653
person
Provider Profile Details
NPI Number
1366428203
Provider Name
Laura C Smith
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
1813 W Harvard Ave Ste 310, Roseburg, OR, 97470-5653
Phone Number
541-672-7546
Fax Number
541-675-8446
Provider Enumeration Date
12/22/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0245490 01 OR DEPT OF LABOR AND INDUSTRIES
151228 05 OR
institution
Provider Business Practice Location Address Details
Address
1813 W Harvard Ave Ste 310
City
State
Zip
97470-2756
Phone Number
541-672-7546
Fax Number
541-675-8446
person
Provider Business Mailing Address Details
Address
1813 W Harvard Ave Ste 310
City
State
Zip
97470-2756
Phone Number
541-672-7546
Fax Number
541-675-8446
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA00905 (Oregon)
Definition
Definition to come...
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