Individual
LAURA GADZIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
700 NE MULTNOMAH ST, SUITE #275, PORTLAND, OR 97232-2131
(425) 941-8405
Mailing address
700 NE MULTNOMAH ST, SUITE #275, PORTLAND, OR 97232-2131
(425) 941-8405
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
201142777RN
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
201392421NP-PP
OR
Other
Enumeration date
05/23/2012
Last updated
09/25/2013
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