Individual
MS. GINNY LEE LAFERRIERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2701 NW VAUGHN ST STE 160, PORTLAND, OR 97210-5344
(503) 499-5200
(503) 499-5455
Mailing address
4515 NE ROYAL CT, PORTLAND, OR 97213-2354
(503) 235-5263
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
079043585N3
OR
Other
Enumeration date
09/02/2006
Last updated
12/12/2007
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