Individual
JUDITH ANNE LAUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, CCA
Contact information
Practice address
3716 SE INTERNATIONAL WAY, PORTLAND, OR 97222-6001
(503) 659-0073
Mailing address
10245 SE BELL AVE, PORTLAND, OR 97222-2228
(970) 946-7727
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
20016
OR
Other
Enumeration date
05/05/2013
Last updated
08/30/2013
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