Individual
LAUREN MELISSA SMALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
19075 NW TANASBOURNE DR, SUITE 200, HILLSBORO, OR 97124-5860
(503) 684-8252
Mailing address
315 NW LOST SPRINGS TER, APT #408, PORTLAND, OR 97229-6444
(513) 659-5212
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/01/2010
Last updated
02/19/2015
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