Individual
LAUREL KAROLINA POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1536 NW 23RD AVE, PORTLAND, OR 97210-2618
(503) 799-5226
Mailing address
831 NW 23RD AVE, #6, PORTLAND, OR 97210-3003
(503) 799-5226
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
11696
OR
Other
Enumeration date
01/24/2010
Last updated
01/24/2010
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