Healthcare Provider Details

I. General information

NPI: 1215806963
Provider Name (Legal Business Name): LAURA M BELDING
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/31/2025
Last Update Date: 10/31/2025
Certification Date: 10/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

211 E 7TH AVE
EUGENE OR
97401-2773
US

IV. Provider business mailing address

4675 GOODPASTURE LOOP APT 80
EUGENE OR
97401-1574
US

V. Phone/Fax

Practice location:
  • Phone: 541-817-6389
  • Fax:
Mailing address:
  • Phone: 541-607-0987
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateOR

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: