Laurel A Gorham is a Pediatrics in Yakima, Washington. Laurel A Gorham practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Laurel A Gorham is 1356360499. The last update date is 2021-03-12.
Laurel A Gorham's current location address is 402 S 12th Ave, Yakima, Washington. You can contact this provider via phone number 5095732598 and fax number 5094525224. The mailing address for Laurel A Gorham is 402 S 12th Ave, Yakima, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Laurel A Gorham |
|---|---|
| Address | 402 S 12th Ave, Yakima, Washington |
| Phone Number | 5095732598 |
| Fax Number | 5094525224 |
| Sole Proprietor | N |
| Credentials | C.P.N.P. |
NPI Number Detail
| NPI Number | 1356360499 |
|---|---|
| Provider Enumeration Date | 2006-07-19 |
| Last Updated Date | 2021-03-12 |
Provider Mailing Address Detail
| Address | 402 S 12th Ave |
|---|---|
| City | Yakima |
| State | Washington (WA) |
| Post Code | 989023115 |
| Phone Number | 5095732598 |
| Fax Number | 5094525224 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 363Lp0200X |
| Licence No | 201507531NP- |
|
Definition: An advanced practice registered nurse expert in providing care to infants, children and adolescents. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2972474/10 | MI | -- | |
| 500693438 | OR | -- | |
| 2044559 | WA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Laurel A Gorham by the Centers for Medicare & Medicaid Services?
The Laurel A Gorham has been assigned the NPI (National Provider Identifier) 1356360499 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where Laurel A Gorham is physically located?
The Laurel A Gorham is situated at the following address: 402 S 12Th Ave, Yakima, WA 989023115.
What is Laurel A Gorham's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Laurel A Gorham is Pediatrics, and the corresponding taxonomy classification code for this specialized field is 363Lp0200X.
On what date did the Centers for Medicare & Medicaid Services assign the 1356360499 to Laurel A Gorham?
The Centers for Medicare & Medicaid Services assigned the 1356360499 to Laurel A Gorham on 2006-07-19.
When was the information related to Laurel A Gorham most recently updated or refreshed?
The details pertaining to the Laurel A Gorham, including its address, specialty, and other relevant information, were last updated or refreshed on 2021-03-12.
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