NPI 1063342442

Laura White, PAC

Practitioner Physician Assistant Gresham, OR

Practice location

Address: 25050 SE Stark St STE 265, Gresham, OR 97030-3388
Phone: (503) 674-1520
Mailing address: PO Box 3777, Portland, OR 97208-3777

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA229199 (OR)

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Registry record

NPI: 1063342442
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 May 2026
Record last updated: 18 Jun 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.