Individual
LAURA B. O'CONNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY. D., MFT, BCBA
Contact information
Practice address
4640 S MACADAM AVE STE 90, PORTLAND, OR 97239-4285
(503) 292-0765
Mailing address
4640 S MACADAM AVE STE 90, PORTLAND, OR 97239-4285
(310) 883-5431
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
29491
CA
103TC0700X
Clinical Psychologist
3371
OR
106H00000X
Marriage & Family Therapist
44226
CA
225C00000X
Rehabilitation Counselor
—
—
390200000X
Student in an Organized Health Care Education/Training Program
MFC 44226
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/09/2007
Last updated
03/13/2025
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