Individual
LAURA JEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4265 NE HALSEY ST APT 310, PORTLAND, OR 97213-1558
(503) 780-3642
Mailing address
4265 NE HALSEY ST APT 310, PORTLAND, OR 97213-1558
(503) 780-3642
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
—
—
Other
Enumeration date
07/18/2025
Last updated
07/18/2025
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