LAURA JEAN BURNSIDE-MCELLIGOTT

NORTH BEND, OR
NPI1477718419
Professional NameLAURA JEAN MCELLIGOTT
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: OR  200850064NP FNP-PP)
Additional Taxonomies163W00000X Registered Nurse
(Licence: OR  081046951RN)
Enumeration Date2008-07-18
Last Update Date2012-06-15
Business Address
-- LAURA JEAN BURNSIDE-MCELLIGOTT
1890 WAITE ST STE 1
NORTH BEND, OR 97459-1229
Phone number: 541-756-6232
Mailing Address
-- LAURA JEAN BURNSIDE-MCELLIGOTT
1890 WAITE ST STE 1
NORTH BEND, OR 97459-1229
Phone number: 541-756-6232