Individual
LAURA VILLAGOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
501 N DIXON ST, PORTLAND, OR 97227-1804
(503) 916-2000
Mailing address
5631 SE LOGUS RD, MILWAUKIE, OR 97222-4228
(831) 809-8634
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
528569
OR
Other
Enumeration date
06/12/2025
Last updated
06/12/2025
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