Individual
MISS LAURA STEPHANIE MOURINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ND
Contact information
Practice address
6956 SW HAMPTON ST, TIGARD, OR 97223-8351
(216) 707-9137
(216) 707-0162
Mailing address
6956 SW HAMPTON ST, TIGARD, OR 97223-8351
(216) 707-9137
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
4189
OR
Other
Enumeration date
08/27/2018
Last updated
02/13/2023
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