Hale, Laura L

Hale, Laura L is an individual health care provider with primary practice located at 9605 Grand Ronde Rd , Grand Ronde OR 97347-9712. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / Dentist is her primary health care specialty. Hale, Laura L can be contacted via phone (503) 879-2020.

Contact Information

Primary practice address
9605 Grand Ronde Rd Grand Ronde OR 97347-9712
Phone: (503) 879-2020
Fax: (503) 879-2071
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X D11922 Oregon
Dental Providers / Dentist 122300000X DD3192 New Mexico
Dental Providers / Dentist 122300000X 08516 Iowa
Dental Providers / General Practice 1223G0001X 6648 Nebraska

Profile Details

NPI number 1992870927
LBN Legal business name Hale, Laura L
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 22nd, 2006
Last updated Dec 13th, 2023 - about 2 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 1992870927 NPPES
Nebraska MEDICAID 10025408800
Nebraska MEDICAID 0723403
Nebraska Other 1883524

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