Individual
LAUREL PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2120 EXCHANGE ST, ASTORIA, OR 97103-3365
(503) 325-5722
Mailing address
9489 E STAR WATER DR, TUCSON, AZ 85749-8706
(541) 784-6719
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
DO189833
OR
2084P0804X
Child & Adolescent Psychiatry Physician
DO189833
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/11/2014
Last updated
07/16/2019
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