| Laurie Dahl, Fnp | |
|
700 Twin Creeks Crossing Loop Suite A Central Point OR 97502-8661 | |
| (541) 500-0561 | |
| (541) 982-7287 |
| Full Name | Laurie Dahl, Fnp |
|---|---|
| Speciality | Clinic/Center |
| Location | 700 Twin Creeks Crossing Loop, Central Point, Oregon |
| Authorized Official Name and Position | Laurie B Dahl (OWNER/NURSE PRACTITIONER) |
| Authorized Official Contact | 5415000561 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Laurie Dahl, Fnp 700 Twin Creeks Crossing Loop Suite A Central Point OR 97502-8661 Ph: (541) 500-0561 | Laurie Dahl, Fnp 700 Twin Creeks Crossing Loop Suite A Central Point OR 97502-8661 Ph: (541) 500-0561 |
| NPI Number | 1235666272 |
|---|---|
| Provider Enumeration Date | 05/22/2017 |
| Last Update Date | 02/14/2024 |
| Medicare PECOS PAC ID | 0941553994 |
|---|---|
| Medicare Enrollment ID | O20181022002318 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235666272 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 201500076NP-PP (Oregon) | Primary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
| Provider Name | Laurie Dahl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881087245 PECOS PAC ID: 0244549814 Enrollment ID: I20151021002412 |
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