Individual
LAURA KOWALKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7132 N JORDAN AVE, PORTLAND, OR 97203-4445
(509) 270-8448
Mailing address
7132 N JORDAN AVE, PORTLAND, OR 97203-4445
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
OR
Other
Enumeration date
07/05/2024
Last updated
07/05/2024
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