Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | 201800285NP-PP | OR |
NPI | 1023281912 |
---|---|
Provider Name | Laura L Zitzer |
First Address | Vancouver, WA 98683-8004 |
Second Address | Springfield, OR 97477 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/04/2008 |
Last Update Date | 24/07/2018 |