Individual
LAILA BIRN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2526 NE 15TH AVE, PORTLAND, OR 97212-4222
(503) 288-7668
Mailing address
2526 NE 15TH AVE, PORTLAND, OR 97212-4222
(503) 288-7668
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
13517
OR
Other
Enumeration date
12/09/2013
Last updated
12/09/2013
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