Individual
HAILEY E LAUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6504 NE SISKIYOU ST, PORTLAND, OR 97213-4572
(971) 317-5719
Mailing address
6504 NE SISKIYOU ST, PORTLAND, OR 97213-4572
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L10348
OR
Other
Enumeration date
10/24/2014
Last updated
12/12/2022
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