D'Avignon, Laurie Cordaro

D'Avignon, Laurie Cordaro is an individual health care provider with primary practice located at 1501 Ne Medical Center Dr , Bend OR 97701-6051. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Infectious Disease, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Infectious Disease is her primary health care specialty. D'Avignon, Laurie Cordaro can be contacted via phone (541) 382-2811.

Contact Information

Primary practice address
1501 Ne Medical Center Dr Bend OR 97701-6051
Phone: (541) 382-2811
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 01055283A Indiana
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD156715 Oregon
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X MD156715 Oregon

Profile Details

NPI number 1700851433
LBN Legal business name D'Avignon, Laurie Cordaro
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2006
Last updated Sep 12th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700851433 NPPES
Oregon Other P01085387 MEDICARE RAILROAD
Oregon MEDICAID 500648662 MEDICARE RAILROAD

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