Individual
LAUREN MERRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, PMHNP-BC
Contact information
Practice address
3583 NE BROADWAY ST, PORTLAND, OR 97232-1820
(503) 218-3866
(503) 343-6158
Mailing address
3583 NE BROADWAY ST, PORTLAND, OR 97232-1820
(503) 218-3866
(503) 343-6158
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
201606691NP-PP
OR
Other
Enumeration date
09/19/2015
Last updated
08/07/2024
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