Individual
LAUREN SIGNE WILKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2800 SW PEACEFUL LN, PORTLAND, OR 97239-1161
(503) 516-9085
Mailing address
11882 SW 72ND AVE APT 409, PORTLAND, OR 97223-6085
(503) 887-7543
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB843310
OR
Other
Enumeration date
11/24/2023
Last updated
06/11/2024
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