Individual
VIOLET LAWTHER LAKELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FPMHNP-BC
Contact information
Practice address
1825 NE GLISAN ST, PORTLAND, OR 97232-2844
(503) 963-7676
(503) 764-9042
Mailing address
PO BOX 8459, PORTLAND, OR 97207-8459
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
201150162
OR
Other
Enumeration date
08/05/2010
Last updated
01/19/2023
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