Provider Demographics
NPI:1336169713
Name:TORGERSON, LAURA LYSNE (ND NATUROPATHIC PHYS)
Entity Type:Individual
Prefix:DR
First Name:LAURA
Middle Name:LYSNE
Last Name:TORGERSON
Suffix:
Gender:F
Credentials:ND NATUROPATHIC PHYS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1033 SW YAMHILL ST
Mailing Address - Street 2:300
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97205
Mailing Address - Country:US
Mailing Address - Phone:503-222-1315
Mailing Address - Fax:503-222-1317
Practice Address - Street 1:1033 SW YAMHILL ST
Practice Address - Street 2:300
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97205
Practice Address - Country:US
Practice Address - Phone:503-222-1315
Practice Address - Fax:503-222-1317
Is Sole Proprietor?:No
Enumeration Date:2006-07-20
Last Update Date:2011-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR1371175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath