Individual
LAURA ANN ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CADCIII
Contact information
Practice address
10763 SW GREENBURG RD STE 100, TIGARD, OR 97223-5492
(503) 684-8159
(503) 598-0934
Mailing address
10763 SW GREENBURG RD STE 100, TIGARD, OR 97223-5492
(503) 684-8159
(503) 598-0934
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
06-11-73
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MCD# 500701970
—
OR
Enumeration date
04/13/2007
Last updated
02/19/2026
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