Individual
DR. LAUREN ELISABETH MUTRIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D., MSC
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 346-0640
(503) 494-4951
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 346-0640
(503) 494-4951
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
49456
TN
208000000X
Pediatrics Physician
Primary
MD185532
OR
Other
Enumeration date
06/22/2008
Last updated
01/25/2023
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