Individual
LARAMIE MAYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1049 SW BASELINE ST STE D480, HILLSBORO, OR 97123-3863
(503) 465-2749
Mailing address
PO BOX 16576, PORTLAND, OR 97292-0576
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
01/03/2022
Last updated
01/03/2022
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