Laberge, Roy Allen
Laberge, Roy Allen is an individual health care provider with primary practice located at 212 Skyline Dr , White Salmon WA 98672-0212. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Laberge, Roy Allen can be contacted via phone (509) 493-2133.Contact Information
Primary practice address
212 Skyline Dr
White Salmon WA 98672-0212
Phone: (509) 493-2133
Fax: (509) 493-9538
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD00033033 | Washington |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD20890 | Oregon |
Profile Details
| NPI number | 1487646881 |
|---|---|
| LBN Legal business name | Laberge, Roy Allen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 22nd, 2005 |
| Last updated | Jul 28th, 2008 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487646881 | NPPES |
| Washington | Other | 080090215 | PTAN |
| Washington | MEDICAID | 8194995 | PTAN |
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