Most Relevant Information
Provider Data
| NPI Number: | 1003691171 |
| Provider Name: | LAURA MARIE BREMNER |
| Entity Type: | Individual |
| Taxonomy Code: | 172V00000X |
| Specialty: | Community Health Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/28/2023 |
| Last Updated: | 08/28/2023 |
Provider Practice Location
200 GWEE SHUT RD
SILETZ
OR
973802036
Practice Location Phone/Fax
| Phone: | 5414441030 |
| Fax: | 5414449695 |
Provider Mailing Location
PO BOX 320
SILETZ
OR
973800320
Provider Mailing Phone/Fax
| Phone: | 5414441030 |
| Fax: | 5414449695 |