Organization Active NPI

Loren E. Laybourn, MD PS

  • Diagnostic Radiology Physician
  • Aberdeen, WA
National Provider Identifier
1164705794
Registry record updated Sep 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD00046844 Issued in WA
Legal business name
LOREN E. LAYBOURN, MD PS
Practice address
100 S I St
Ste. 103
Aberdeen, WA 98520-6502
Phone
(360) 533-1576
Fax
(360) 637-8732
NPI assigned
Sep 20, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Loren Laybourn, MD
Title
Administrator
Phone
(360) 533-1576

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X MD00046844 WA Primary

Addresses

Primary practice location

100 S I St
Ste. 103
Aberdeen, WA 98520-6502

Mailing address

PO Box 1898
Aberdeen, WA 98520-0315
Phone (360) 533-1576

National Provider Directory

National Provider Directory

Locations

100 S I St
Ste 103
Aberdeen, WA 98520
Phone (360) 533-1576

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1316476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316476800000",
    "number": "1164705794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1898",
            "city": "ABERDEEN",
            "state": "WA",
            "postal_code": "985200315",
            "telephone_number": "360-533-1576",
            "fax_number": "360-637-8732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S I ST",
            "address_2": "STE. 103",
            "city": "ABERDEEN",
            "state": "WA",
            "postal_code": "985206502",
            "telephone_number": "360-533-1576",
            "fax_number": "360-637-8732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOREN E. LAYBOURN, MD PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-20",
        "last_updated": "2011-09-20",
        "status": "A",
        "authorized_official_last_name": "LAYBOURN",
        "authorized_official_first_name": "LOREN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "360-533-1576",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WA",
            "license": "MD00046844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aberdeen, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.