Individual
COURTNEY JANICE LAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6924 NE SANDY BLVD, PORTLAND, OR 97213-5256
(503) 300-4111
Mailing address
6924 NE SANDY BLVD, PORTLAND, OR 97213-5256
(503) 300-4111
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA217851
OR
Other
Enumeration date
09/06/2021
Last updated
02/14/2024
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