LAURA K SHANK (NPI# 1326337965) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326337965 |
| Entity Type | Individual |
| Full Name | LAURA K SHANK |
| Other Name | LAURIE K SHANK |
| Credential | PSYD |
| Practice Address |
2542 Ne Courtney Dr Bend OR 97701-7685 |
| Mailing Address |
Po Box 5579 Bend OR 97708-5579 |
| Practice Telephone | 5417062768 |
| Practice Fax Number | 5417064760 |
| Mailing Telephone | 5417062768 |
| Mailing Fax Number | 5417064760 |
| Enumeration Date | 2011-04-05 |
| Last Update Date | 2020-04-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
100250 | OR | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
2915-57 | WI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | LICENSE | 2915-57 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972891901 | Laura C Shank | Dietitian, Registered | 2701 Dekalb Pike, Norristown, PA 19401-1820 | 2011-07-12 |
| 1740310390 | Laura Dawn Shank | Pediatrics | 1001 S George St, York, PA 17403-3676 | 2007-03-06 |
| Street Address |
2542 NE COURTNEY DR |
| City | BEND |
| State | OR |
| Zip Code | 97701-7685 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558368514 | Ross Judice | Psychiatry & Neurology | 2542 Ne Courtney Dr, Bend, OR 97701-7685 | 2005-07-06 |
| 1972137875 | Shaylynne Danielle Kalberg | Social Worker | 2542 Ne Courtney Dr, Bend, OR 97701-7685 | 2020-02-28 |
| 1255976379 | Rebecca N Brown | Counselor | 2542 Ne Courtney Dr, Bend, OR 97701-7685 | 2019-11-13 |
| 1811384407 | Bree Burch | Counselor | 2542 Ne Courtney Dr, Bend, OR 97701-7685 | 2015-04-21 |
| 1437580065 | Mara Mueller | Social Worker | 2542 Ne Courtney Dr, Bend, OR 97701-7685 | 2013-12-08 |
| 1619313962 | Elizabeth Kindred | Social Worker | 2542 Ne Courtney Dr, Bend, OR 97701 | 2013-05-14 |
| 1467709907 | Nicholas E Sundstrom | Social Worker | 2542 Ne Courtney Dr, Bend, OR 97701-7685 | 2012-08-14 |
| 1376833012 | Nicole Spreadborough | Counselor | 2542 Ne Courtney Dr, Bend, OR 97701-7685 | 2011-04-14 |
| 1609172923 | John H Walkenhorst | Social Worker | 2542 Ne Courtney Dr, Bend, OR 97701-7685 | 2011-02-03 |
| 1124253950 | Samantha L Bennett | Social Worker | 2542 Ne Courtney Dr, Bend, OR 97701-7685 | 2009-05-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104465525 | Andrew Kyle Burzynski | Denturist | 853 Ne 4th St., Bend, OR 97701 | 2020-01-02 |
| 1013480714 | Andrew Traut | Specialist/Technologist | Oregon State Force Lab, 2200 Ne Neff Rd Suite 202, Bend, OR 97701 | 2019-01-04 |
| 1871063917 | Calley Asbill, Nd LLC | Chiropractor | 2146 Ne 4th Street, Suite 160, Bend, OR 97701 | 2018-12-02 |
| 1902372212 | Carisa S Battin | Counselor | 361 Ne Franklin Avenue Bldg E #4, Bend, OR 97701 | 2018-10-15 |
| 1366921223 | Hillside Eye Center LLC | Ophthalmology | 625 Nw Colorado Avenue, Bend, OR 97701 | 2018-08-11 |
| 1528545514 | Kellie Michiko Kawasaki-jones | Dentist | 62968 Ob Riley Road, Suite 12, Bend, OR 97701 | 2018-07-23 |
| 1992255327 | Shelby Chiropractic | Chiropractor | 561 Ne Bellevue Dr Ste 102, Bend, OR 97701 | 2016-10-10 |
| 1144671520 | Kevin Richard Pett | Acupuncturist | 39 Nw Louisanna Ave., Hawthorn Healing Arts Center, Bend, OR 97701 | 2016-06-27 |
| 1912357500 | Sheldon Shawn Doveri | Driver | 233 Nw Revere Ave, Bend, OR 97701 | 2016-06-15 |
| 1740647411 | Anne Power | Homeopath | 2100 Ne Neff Rd Suite B, Bend, OR 97701 | 2016-01-26 |
| Find all providers in zip 97701 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780992305 | Cassie Laurel O'brien | Psychologist | 45 Nw Greeley Ave, Bend, OR 97703-2943 | 2010-09-16 |
| 1326352063 | David J. Kleber | Psychologist | 384 Sw Upper Terrace Dr., Suite 209, Bend, OR 97702 | 2010-08-05 |
| 1962735746 | Kathleen Ann Hoyt | Psychologist | 855 Sw Yates Dr, Suite 101, Bend, OR 97702-3217 | 2009-09-11 |
| 1083859235 | Robert F Burch Phd PC | Psychologist | 390 Sw Columbia St Ste 210, Bend, OR 97702-3227 | 2008-12-02 |
| 1700085792 | John Vincent Prignano | Psychologist | 635 Nw Colorado Ave, Bend, OR 97701-3257 | 2007-07-11 |
| 1730384975 | Bruce W. Bundy, Psyd, PC | Psychologist | 205 Se Davis Ave Ste A, Bend, OR 97702-1333 | 2007-06-18 |
| 1386849941 | Frances F Miller | Psychologist | 548 Nw Greyhawk, Bend, OR 97701 | 2007-06-15 |
| 1841402872 | Michael Grayson Conner | Psychologist | 965 Ne Wiest Way, Bend, OR 97701-4285 | 2007-05-03 |
| 1851423776 | Michelle Whitehead | Psychologist | 26 Nw Irving, Bend, OR 97701 | 2007-03-09 |
| 1356485734 | Linda Jane Schrader-patton | Psychologist | 731 Nw Franklin Ave Ste 103, Bend, OR 97701-2752 | 2007-02-17 |
| Find all providers in BEND | ||||
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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.