Individual
LAURIE LYN BURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
2600 CENTER ST NE, SALEM, OR 97301-2669
(503) 945-8840
Mailing address
1744 SW CREEKSIDE LN, MCMINNVILLE, OR 97128-8955
(253) 226-2781
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1939
OR
Other
Enumeration date
01/28/2010
Last updated
01/28/2010
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