Individual
DR. LAURIE A. BURKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
11501 SW PACIFIC HWY, SUITE 100-13, PORTLAND, OR 97223-8649
(503) 673-1848
Mailing address
11501 SW PACIFIC HWY, SUITE 100-13, PORTLAND, OR 97223-8649
(503) 673-1848
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2601
OR
Other
Enumeration date
12/14/2015
Last updated
12/14/2015
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