Provider Demographics
NPI:1174318380
Name:JURGENSEN, LAURA JEANNE (RRT)
Entity type:Individual
Prefix:MRS
First Name:LAURA
Middle Name:JEANNE
Last Name:JURGENSEN
Suffix:
Gender:F
Credentials:RRT
Other - Prefix:MRS
Other - First Name:LAURA
Other - Middle Name:J
Other - Last Name:ABERNATHY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RRT
Mailing Address - Street 1:1959 NE PACIFIC ST # 356166
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98195-0001
Mailing Address - Country:US
Mailing Address - Phone:206-598-4444
Mailing Address - Fax:
Practice Address - Street 1:1959 NE PACIFIC ST # 356166
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98195-0001
Practice Address - Country:US
Practice Address - Phone:206-598-4444
Practice Address - Fax:425-274-5557
Is Sole Proprietor?:No
Enumeration Date:2025-04-10
Last Update Date:2025-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALR00003305227900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Registered