Individual
LAUREN BAUMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2318 NE MARTIN LUTHER KING JR BLVD, PORTLAND, OR 97212-3715
(503) 335-8611
Mailing address
10564 SE WASHINGTON ST, PORTLAND, OR 97216-2809
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
T-23-2581
OR
Other
Enumeration date
04/21/2023
Last updated
08/23/2023
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