Laporte, Victoria B.

Laporte, Victoria B. is an individual health care provider with primary practice located at 1350 Ne 122Nd Ave , Portland OR 97230-2011. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Laporte, Victoria B. can be contacted via phone (503) 408-7010.

Contact Information

Primary practice address
1350 Ne 122Nd Ave Portland OR 97230-2011
Phone: (503) 408-7010
Fax: (503) 408-7035
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 000038375N1 FNP-PP Oregon
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 0038375N1 Oregon

Profile Details

NPI number 1336110535
LBN Legal business name Laporte, Victoria B.
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 2006
Last updated Sep 9th, 2014 - about 12 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 1336110535 NPPES
Oregon MEDICAID 065610

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