Individual
MRS. LAUREN KATHERINE WOODWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-8161
Mailing address
1811 NE HALSEY ST, APT 3, PORTLAND, OR 97232-1482
(785) 550-5575
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
201040296
OR
Other
Enumeration date
02/08/2012
Last updated
02/08/2012
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