| Lauren Nicole Grulke, OTR/L, CLT-LANA | |
|
815 Nw 9th St Ste 180, Corvallis, OR 97330-6173 | |
| (541) 768-5157 | |
| Not Available |
| Full Name | Lauren Nicole Grulke |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 815 Nw 9th St Ste 180, Corvallis, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376126557 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 432534 (Oregon) | Primary |
| Provider Name | Good Samaritan Hospital Corvallis |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1962453134 PECOS PAC ID: 1557270725 Enrollment ID: O20031125000163 |
| Mailing Address | Practice Location Address |
|---|---|
| Lauren Nicole Grulke, OTR/L, CLT-LANA Po Box 1189, Corvallis, OR 97339-1189 Ph: () - | Lauren Nicole Grulke, OTR/L, CLT-LANA 815 Nw 9th St Ste 180, Corvallis, OR 97330-6173 Ph: (541) 768-5157 |
Mrs. Susan Gorthey Bottomley, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2211 Nw Professional Dr, Ste 100, Corvallis, OR 97330 Phone: 541-757-7269 Fax: 541-757-7465 | |
Loretta Rivard, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 815 Nw 9th St, Suite 202, Corvallis, OR 97330 Phone: 541-768-5254 | |
Kiera T Stukey, MOT OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 815 Nw 9th St Ste 180, Corvallis, OR 97330 Phone: 541-768-5157 | |
Mrs. Mary Tenney Quibrera, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3600 Nw Samaritan Dr, Corvallis, OR 97330 Phone: 541-768-5048 | |
Good Samaritan Hospital, Corvallis Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3640 Nw Samaritan Dr, Corvallis, OR 97330 Phone: 541-768-4920 Fax: 541-768-4929 | |
Mrs. Amy Easterly Nistico, M.O.T. Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 815 Nw 9th St, Suite180, Corvallis, OR 97330 Phone: 541-768-5157 | |
Rachel Wortman, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3600 Nw Samaritan Dr, Corvallis, OR 97330 Phone: 541-768-5111 |