LAURA LYNN WILLOUGHBY (NPI# 1922426055) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922426055 |
| Entity Type | Individual |
| Full Name | LAURA LYNN WILLOUGHBY |
| Credential | M.D. |
| Practice Address |
700 Ne 87th Ave Ste 250 Vancouver WA 98664-4896 |
| Mailing Address |
Po Box 4825 Portland OR 97208-4825 |
| Practice Telephone | 3608822778 |
| Practice Fax Number | 3606041727 |
| Mailing Telephone | 3608822778 |
| Enumeration Date | 2014-04-05 |
| Last Update Date | 2020-10-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | MD61022155 | WA | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 148408 | CA | Allopathic & Osteopathic Physicians |
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
MD61022155 | WA | Allopathic & Osteopathic Physicians |
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
MD61022155 | WA | Allopathic & Osteopathic Physicians |
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
A148408 | CA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 2159739 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790183697 | Laura Kathleen Willoughby | Speech-Language Pathologist | 3882 S Capulet Ave, Meridian, ID 83642-5093 | 2014-12-09 |
| 1164558185 | Laura Denise Willoughby | Occupational Therapist | 151 N Eagle Creek Dr Ste 400, Lexington, KY 40509-1894 | 2007-02-26 |
| 1508340977 | Laura Willoughby | Pharmacist | 675 E Highway 60, Hardinsburg, KY 40143-5802 | 2018-09-20 |
| 1639418262 | Laura Willoughby | Registered Nurse | 902 Edmond St, Suite 203, Saint Joseph, MO 64501-2749 | 2013-02-01 |
| 1902073109 | Laura Anne Gellhaus Willoughby | Family Medicine | 1 Veterans Dr, Minneapolis, MN 55417-2309 | 2008-05-15 |
| Street Address |
700 NE 87TH AVE STE 250 |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98664-4896 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497986871 | Bashar Alkinj | Internal Medicine | 700 Ne 87th Ave Ste 250, Vancouver, WA 98664 | 2009-08-03 |
| 1316366073 | Jessica Lau | Internal Medicine | 700 Ne 87th Ave Ste 250, Vancouver, WA 98664-4896 | 2014-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285249938 | Angelica Maria Parle-fresquez | Speech-Language Pathologist | Early Childhood Assessment Center - Lieser School, 301 S. Lieser Rd, Vancouver, WA 98664 | 2020-09-10 |
| 1467923441 | Elizabeth Steen | Counselor | 230 E. State St., Mossyrock, WA 98664 | 2018-12-17 |
| 1497241657 | Chelsey Nicole Parker | Peer Specialist | 9815 Ne 3rd St, Vancouver, WA 98664 | 2018-07-10 |
| 1881145431 | Brent Homan | Occupational Therapist | 807 Se Morgan Rd., Vancouver, WA 98664 | 2016-10-19 |
| 1114474277 | Rebecca Marie Stefan | Nurse's Aide | 10025 Ne 19th St, Vancouver, WA 98664 | 2016-09-07 |
| 1528454105 | Alicia Ford | Dietitian, Registered | 700 Ne 87th Ave Ste 280, Vancouver, WA 98664 | 2015-04-10 |
| 1033504261 | Reid Roberts Bennett | Anesthesiology | 505 Ne 87th Ave Ste 210, Vancouver, WA 98664 | 2015-04-03 |
| 1235550856 | Nikolay Nikolaevich Chernukhin Jr. | Chiropractor | 221-a Ne 104th Ave, Suite 205, Vancouver, WA 98664 | 2013-12-27 |
| 1013278712 | Serena Harker | Physical Therapy Assistant | 221a Ne 104th Ave, Suite #205, Vancouver, WA 98664 | 2012-05-30 |
| 1295091080 | Rebeca C Johnson | Massage Therapist | 11015 Ne 4th Plain Suite B, Vancouver, WA 98664 | 2012-04-05 |
| Find all providers in zip 98664 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851420863 | Steven Lee Grund | Internal Medicine | 8614 E Mill Plain Blvd, Suite 201, Vancouver, WA 98664-2059 | 2007-03-05 |
| 1972648897 | Jorge Berrios | Internal Medicine | 400 Ne Mother Joseph Pl, Vancouver, WA 98664-3200 | 2007-02-20 |
| 1568480416 | William Mcbride | Internal Medicine | 700 Ne 87th Ave, Vancouver, WA 98664-1913 | 2006-07-18 |
| 1437199585 | Robert Fisher | Internal Medicine | 501 Se 172nd Ave, Vancouver, WA 98684-9542 | 2006-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386004638 | Kent N Sullivan Md Pllc | Internal Medicine | 19219 51st Ave Ne, Lake Forest Park, WA 98155-2940 | 2016-02-29 |
| 1215363676 | Lawrence Edward Klock Jr. | Internal Medicine | 4115 S Bellgrove Ln, Spokane, WA 99223-6185 | 2013-09-17 |
| 1427495274 | Mohammed Nayeemuddin | Internal Medicine | 16259 Sylvester Rd Sw Ste 404, Burien, WA 98166 | 2013-06-03 |
| 1174864912 | Steven Chase Springmeyer | Internal Medicine | 219 Terry Ave N Ste 100, Seattle, WA 98109-5230 | 2013-03-04 |
| 1326364688 | Surafel Befekadu Gezahegne | Internal Medicine | 4011 Talbot Rd S Ste 460, Renton, WA 98055-5791 | 2010-04-12 |
| 1649439209 | Allison A Lambert | Internal Medicine | 105 W 8th Ave Ste 660e, Spokane, WA 99204-2302 | 2008-06-08 |
| 1114192937 | Richard Clark Redman | Internal Medicine | 500 Lilly Road Ne, Suite 201, Olympia, WA 98506 | 2008-04-23 |
| 1467637058 | John E Sailer | Internal Medicine | 181 Saddle Drive, Port Townsend, WA 98368 | 2008-01-02 |
| 1891995882 | Bridget Collins | Internal Medicine | Uwmc 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2007-07-19 |
| 1538368360 | Vincent George Lerma Cunanan | Internal Medicine | 1100 Goethals Drive Third Floor, Kadlec Clinic Pulmonary, Richland, WA 99352 | 2007-07-12 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.