Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111N00000X | Chiropractor | 27-2662 | OR |
Y | 111NN0400X | Neurology | 27-2662 | OR |
NPI | 1164480448 |
---|---|
Provider Name | Dr. Laura A. Swingen |
First Address | Portland, OR 97225-5923 |
Second Address | Portland, OR 97225 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/05/2006 |
Last Update Date | 17/09/2018 |