Avondstondt, Laurent E. O.

Avondstondt, Laurent E. O. is an sole proprietor health care provider with primary practice located at 3710 Sw Us Veterans Hospital Rd , Portland OR 97239-2964. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Avondstondt, Laurent E. O. can be contacted via phone (503) 220-8262.

Contact Information

Primary practice address
3710 Sw Us Veterans Hospital Rd Portland OR 97239-2964
Phone: (503) 220-8262
Fax: (503) 731-1035
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 200350144NP Oregon

Profile Details

NPI number 1053302265
LBN Legal business name Avondstondt, Laurent E. O.
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 4th, 2005
Last updated Jul 12th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053302265 NPPES
Oregon MEDICAID 9625955

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