Provider Demographics
NPI:1518103555
Name:GOFF, LAURA AMROFELL (LAC)
Entity Type:Individual
Prefix:MRS
First Name:LAURA
Middle Name:AMROFELL
Last Name:GOFF
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:LAURA
Other - Middle Name:M
Other - Last Name:AMROFELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7405 SW BEVELAND RD
Mailing Address - Street 2:
Mailing Address - City:TIGARD
Mailing Address - State:OR
Mailing Address - Zip Code:97223
Mailing Address - Country:US
Mailing Address - Phone:503-746-6095
Mailing Address - Fax:503-746-6405
Practice Address - Street 1:7405 SW BEVELAND RD
Practice Address - Street 2:
Practice Address - City:TIGARD
Practice Address - State:OR
Practice Address - Zip Code:97223
Practice Address - Country:US
Practice Address - Phone:503-746-6095
Practice Address - Fax:503-746-6405
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-22
Last Update Date:2023-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORAC01241171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist