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Individual

DR. LAURA SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSYD

Contact information

Practice address
3600 N INTERSTATE AVE, PORTLAND, OR 97227-1106
(503) 331-6131
Mailing address
3600 N INTERSTATE AVE, PORTLAND, OR 97227-1106
(503) 331-6131

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
2862
OR
103TC0700X
Clinical Psychologist
Primary
PY60203649
WA

Other

Enumeration date
07/23/2008
Last updated
12/29/2021
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