Individual
LAUREN MARIE PIACENTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1015 NW 22ND AVE, PORTLAND, OR 97210
(503) 413-7711
Mailing address
1015 NW 22ND AVE, PORTLAND, OR 97210-3025
(503) 413-7711
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
DO192579
OR
Other
Enumeration date
05/12/2016
Last updated
07/22/2019
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