Individual
LAURA CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
247 SE WASHINGTON ST STE 100, HILLSBORO, OR 97123-4169
(971) 312-7432
(503) 208-2596
Mailing address
PO BOX 16756, PORTLAND, OR 97292-0756
(971) 312-7432
(503) 208-2596
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
17-CRM-016
OR
Other
Enumeration date
12/13/2016
Last updated
02/13/2017
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