NPI 1003235706 · live from the CMS NPI Registry
Lauren Elizabeth Boudreaux, DO
Dermatology in Vancouver, WA. National Provider Identifier 1003235706, active.
NPI record
| NPI | 1003235706 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dermatology 207N00000X |
| Practice location | 2415 Ne 134th St Ste 107, Vancouver, WA 98686 |
| Practice phone | 360-576-3340 |
| Mailing address | 1793 13th St Se, Salem, OR 97302 |
| Enumerated | April 9, 2014 |
| Last updated | October 10, 2024 |
| Sole proprietor | No |
| Other names | Lauren Riedmueller |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology primary | 207N00000X | OP60565798 (WA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.