Individual
TARA LAUTENBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
30 NE MARTIN LUTHER KING JR BLVD, PORTLAND, OR 97232-2941
(503) 232-1099
Mailing address
30924 SE JACKSON RD, GRESHAM, OR 97080-8998
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
04/27/2026
Last updated
04/27/2026
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