Individual
MS. ORAWAN LAOCHUMNANVANIT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
3939 NE HANCOCK ST, SUITE 301, PORTLAND, OR 97212-5321
(503) 545-6465
(503) 287-4940
Mailing address
3939 NE HANCOCK STREET, SUITE 301, PORTLAND, OR 97212-2933
(503) 545-6465
(503) 287-4940
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
20075004NP PMHNP PP
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
AP30007896
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9656067
—
WA
Enumeration date
05/08/2007
Last updated
03/19/2021
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