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NPI Code Detail

MEDICARE: MS. LAURA FRANCES FOERST F.N.P.

MEDICARE: MS. LAURA FRANCES FOERST F.N.P.
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 Practitioner081001215N1FNPPPOR
2363LP0808XPsychiatric/Mental Health Nurse Practitioner200850096NP-PP PSYCHOR

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 : 1356325229
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LAURA FRANCES FOERST F.N.P.
Provider Business Mailing Address
First Line : 1215 NW HILLCREST DR
Second Line :
City : CORVALLIS
State : OR
Zip : 97330-2309
Country : US
Telephone Number : 541-758-4293
Fax Number :
Provider Business Practice Location Address
First Line : 530 NW 27TH ST
Second Line :
City : CORVALLIS
State : OR
Zip : 97330-5223
Country : US
Telephone Number : 541-766-6835
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/02/2005
Last Update Date : 10/09/2014

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