Provider Demographics
NPI:1316959455
Name:SAVAGE, LAURA SCHWEGER (DPM)
Entity type:Individual
Prefix:DR
First Name:LAURA
Middle Name:SCHWEGER
Last Name:SAVAGE
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:DR
Other - First Name:LAURA
Other - Middle Name:ANN
Other - Last Name:SCHWEGER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DPM
Mailing Address - Street 1:1506 NE WILLIAMSON BLVD
Mailing Address - Street 2:
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97701-6071
Mailing Address - Country:US
Mailing Address - Phone:541-383-3668
Mailing Address - Fax:541-383-4546
Practice Address - Street 1:1506 NE WILLIAMSON BLVD
Practice Address - Street 2:
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97701-6071
Practice Address - Country:US
Practice Address - Phone:541-383-3668
Practice Address - Fax:541-383-4546
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-13
Last Update Date:2023-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORDP00287213E00000X, 213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
No213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR150472Medicaid
ORH3251OtherPACIFICSOURCE
OR820226001OtherBCBSO
OR820226001OtherBCBSO
ORH3251OtherPACIFICSOURCE
OR135347Medicare PIN