Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Laura Bolt, PA-C

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1124438205

Laura Bolt, PA-C is a Student in an Organized Health Care Education/Training Program in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2014.

Licensed in
OR
In the registry since
2014
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

4805 NE Glisan St Ste 6N50
Portland, OR 97213-2933
Phone: (503) 215-2300
Fax: (503) 215-8004
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA174307 (OR)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1124438205
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 29, 2014
Last updated in NPPESOctober 6, 2020
Certification dateOctober 6, 2020
Mailing addressPo Box 3158, Portland, OR 97208-3158

Other providers in Portland