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NPI Code Detail

MEDICARE: VICTORIA B. LAPORTE FNP

MEDICARE: VICTORIA B. LAPORTE FNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner000038375N1 FNP-PPOR
2363L00000XNurse Practitioner0038375N1OR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1336110535
Entity Type Code : Individual
Provider Name (Legal Business Name) : VICTORIA B. LAPORTE FNP
Provider Business Mailing Address
First Line : PO BOX 92900
Second Line :
City : PORTLAND
State : OR
Zip : 97292-0900
Country : US
Telephone Number : 503-408-7010
Fax Number :
Provider Business Practice Location Address
First Line : 1350 NE 122ND AVE
Second Line :
City : PORTLAND
State : OR
Zip : 97230-2011
Country : US
Telephone Number : 503-408-7010
Fax Number : 503-408-7035
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/27/2006
Last Update Date : 09/09/2014

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Directions to “ VICTORIA B. LAPORTE FNP” Practice Location

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