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DR. LAUREL RENE ANDERSONCOWELL MD

Allergy and Immunology

Portland, Oregon

Provider NPI: 1356346217

Provider Information:
DR. LAUREL RENE ANDERSONCOWELL MD


Practice Location:
233 NW 16TH AVE  PORTLAND, OR 97209 US
Tel: 503-223-6480  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N207K00000XPhysicians
Allergy & Immunology
WAMD00036612
Y207K00000XPhysicians
Allergy & Immunology
ORMD21106
N207KA0200XPhysicians
Allergy & Immunology
ORMD21106
N207KA0200XPhysicians
Allergy & Immunology
WAMD00036612
N207KI0005XPhysicians
Allergy & Immunology
WAMD00036612
N207KI0005XPhysicians
Allergy & Immunology
ORMD21106

Other Provider Identifiers:

IssuerNumberStateType
287109OR05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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