Provider Demographics
NPI:1033175336
Name:HARPER, LAURA LEE PHILLIPS (MS/CCC/SLP)
Entity type:Individual
Prefix:MRS
First Name:LAURA
Middle Name:LEE PHILLIPS
Last Name:HARPER
Suffix:
Gender:F
Credentials:MS/CCC/SLP
Other - Prefix:MRS
Other - First Name:LAURA
Other - Middle Name:LEE
Other - Last Name:PHILLIPS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS/CCC/SLP
Mailing Address - Street 1:INFINITY REHAB
Mailing Address - Street 2:8100 SW NYBERG ST. STE 200
Mailing Address - City:TUALATIN
Mailing Address - State:OR
Mailing Address - Zip Code:99206
Mailing Address - Country:US
Mailing Address - Phone:503-570-3665
Mailing Address - Fax:
Practice Address - Street 1:2903 E 25TH AVE
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99223-4992
Practice Address - Country:US
Practice Address - Phone:509-536-6650
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-25
Last Update Date:2024-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALL00003974235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist