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Individual

LAWRENCE REYNOLDS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
707 NW EVERETT ST, PORTLAND, OR 97209-3517
(503) 222-4906
Mailing address
3056 NE HOLLADAY APT # 303, PORTLAND, OR 97232

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
372600000X
Adult Companion

Other

Enumeration date
04/10/2007
Last updated
09/11/2025
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