Individual
LAURENCE ECKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
2311 E BURNSIDE ST STE 100, PORTLAND, OR 97214-1655
(503) 492-2200
Mailing address
2311 E BURNSIDE ST STE 100, PORTLAND, OR 97214-1655
(503) 492-2200
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
200750006NP
OR
Other
Enumeration date
02/27/2007
Last updated
11/03/2009
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