Individual
MS. LAURA HELEN BURNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.N.P.
Contact information
Practice address
1132 SW 13TH AVE, PORTLAND, OR 97205-1703
(971) 419-6612
Mailing address
13535 SW 72ND AVE STE 170, PORTLAND, OR 97223-8074
(971) 300-0654
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
202001251NP-PP
OR
Other
Enumeration date
03/27/2007
Last updated
04/20/2023
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