Laustsen, Gary Robert

Laustsen, Gary Robert is an sole proprietor health care provider with primary practice located at 1 University Blvd , La Grande OR 97850-2807. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Laustsen, Gary Robert can be contacted via phone (541) 962-3132.

Contact Information

Primary practice address
1 University Blvd La Grande OR 97850-2807
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 200650119NP FNP-PP Oregon

Profile Details

NPI number 1033291596
LBN Legal business name Laustsen, Gary Robert
Credentials FNP, PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 20th, 2006
Last updated Mar 25th, 2012 - about 13 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.

Request for update

Popular Providers