LAURA C POGGIALI

PROVIDENCE HEALTH AND SERVICES OREGON

Dr LAURA C POGGIALI is a female medical professional, specializing in Physician Assistant. She graduated in 2010.

Contact

PROVIDENCE HEALTH AND SERVICES OREGON

16180 SE SUNNYSIDE RD
102 PROV MED GR HAP VALL
HAPPY VALLEY
OR
970156379

Tel: 5035824900

LAURA C POGGIALI Information

Npi 1992014195
Pac Id 1557555844
Professional Enrollment Id I20150402000598
Last Name POGGIALI
First Name LAURA
Middle Name C
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2010
Primary Specialty PHYSICIAN ASSISTANT
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name PROVIDENCE HEALTH AND SERVICES OREGON
Group Practice Pac Id 0648183608
Number Of Group Practice Members 1139
Line 1 Street Address 16180 SE SUNNYSIDE RD
Line 2 Street Address 102 PROV MED GR HAP VALL
Marker Of Address Line 2 Suppression
City HAPPY VALLEY
State OR
Zip Code 970156379
Phone Number 5035824900
Hospital Affiliation Ccn 1 380082
Hospital Affiliation Lbn 1 PROVIDENCE MILWAUKIE HOSPITAL
Hospital Affiliation Ccn 2 380061
Hospital Affiliation Lbn 2 PROVIDENCE PORTLAND MEDICAL CENTER
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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