Doctor Name: | LAURA ROOPER |
NPI Number: | 1235534397 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | QMHA |
License Number: | |
Business Practice Address: | 58646 Mcnulty Way Saint Helens, OR - 970516210 |
Business Phone Number: | 5033975211 |
Business Fax Number: | 5033975373 |
Mailing Address: | Po Box 1234, SAINT HELENS |
State: | OR |
Postal Code: | 970518234 |
Phone Number: | 5033975211 |
Fax Number: | 5033975373 |
NPI Enumeration Date: | 10/30/2014 |
NPI Last Update Date: | 10/30/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |