Individual provider · Type 1 NPI

Laura C. Smith, PA

Medical Physician Assistant · Roseburg, OR

NPI number 1366428203 Active

Practice location

1813 W Harvard Ave Ste 310
Roseburg, OR 97470-2756

Call (541) 672-7546 Map

Fax (541) 675-8446

Mailing address

1813 W Harvard Ste 310
Roseburg, OR 97470-5653

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA00905 (OR)

Medical Physician Assistant: Definition to come...

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About NPI 1366428203

Laura C. Smith, PA's National Provider Identifier is 1366428203, issued on Dec 22, 2005. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Roseburg, OR. The record was last updated on Mar 18, 2009.