Provider Demographics
NPI:1285894261
Name:BEAGLE, LAURINDA (RN)
Entity type:Individual
Prefix:
First Name:LAURINDA
Middle Name:
Last Name:BEAGLE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:LAURI
Other - Middle Name:
Other - Last Name:LITTAU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:6274 SHAW LN SE
Mailing Address - Street 2:
Mailing Address - City:AUMSVILLE
Mailing Address - State:OR
Mailing Address - Zip Code:97325-9561
Mailing Address - Country:US
Mailing Address - Phone:503-749-2386
Mailing Address - Fax:
Practice Address - Street 1:3180 CENTER ST NE
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97301-4532
Practice Address - Country:US
Practice Address - Phone:503-588-5351
Practice Address - Fax:503-585-4908
Is Sole Proprietor?:No
Enumeration Date:2008-06-12
Last Update Date:2013-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR200742301RN163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health