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DR. LAUREL RENE ANDERSONCOWELL MD

Physicians Allergy & Immunology

Provider NPI: 1356346217

Provider Information:
DR. LAUREL RENE ANDERSONCOWELL MD
Gender: F
Not Sole Proprietor

Practice Location:
233 NW 16TH AVE  PORTLAND, OR 97209-2630 US
Tel: 503-223-6480  Fax: 503-294-1868

Business Mailing Address:
2415 NE 134TH ST STE 301  VANCOUVER, WA 98686-3029 US
Tel: 503-294-6171  Fax: --

NPI Information:
NPI: 1356346217
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N207K00000XPhysicians
Allergy & Immunology
WAMD00036612
Y207K00000XPhysicians
Allergy & Immunology
ORMD21106
N207KA0200XPhysicians
Allergy & Immunology
ORMD21106
N207KA0200XPhysicians
Allergy & Immunology
WAMD00036612
N207KI0005XPhysicians
Allergy & Immunology
WAMD00036612
N207KI0005XPhysicians
Allergy & Immunology
ORMD21106

Other Provider Identifiers:

IssuerNumberStateType
287109OR05



American Medical Association 2012 taxonomy code information

Code: 207K00000X

Type:

Classification:



Definition:



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