Individual
DR. LAUREN ELISSA O'ROURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MCHD
Contact information
Practice address
3101 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3095
(503) 221-3424
Mailing address
1105 SW 66TH AVE APT 3306, PORTLAND, OR 97225-6025
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/09/2023
Last updated
10/09/2023
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