O'Dell, Laura Lee

O'Dell, Laura Lee is an individual health care provider with primary practice located at 1315 Nw 4Th St Apt B , Redmond OR 97756-1328. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. O'Dell, Laura Lee can be contacted via phone (541) 504-2350.

Contact Information

Primary practice address
1315 Nw 4Th St Apt B Redmond OR 97756-1328
Phone: (541) 504-2350
Fax: (541) 504-2354
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 05114 Oregon
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT00009847 Washington

Profile Details

NPI number 1538142344
LBN Legal business name O'Dell, Laura Lee
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 25th, 2005
Last updated Mar 20th, 2019 - about 6 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 1538142344 NPPES
Washington MEDICAID 8432429
Washington MEDICAID 8432429

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