Individual
MS. ANN F LAURITSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2701 NW VAUGHN ST STE 160, PORTLAND, OR 97210-5344
(503) 499-5732
Mailing address
7336 SE 17TH AVE, PORTLAND, OR 97202-6121
(503) 233-1026
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
L3657
OR
Other
Enumeration date
10/17/2008
Last updated
10/17/2008
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