Provider Demographics
NPI:1861736134
Name:MEYERHOFF, LAURA (MOTR/L)
Entity type:Individual
Prefix:MRS
First Name:LAURA
Middle Name:
Last Name:MEYERHOFF
Suffix:
Gender:F
Credentials:MOTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14406 NE PIPER RD
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98684-7439
Mailing Address - Country:US
Mailing Address - Phone:503-481-3315
Mailing Address - Fax:
Practice Address - Street 1:14406 NE PIPER RD
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98684-7439
Practice Address - Country:US
Practice Address - Phone:503-481-3315
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-11-26
Last Update Date:2012-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOT 00003822225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist