Individual
MS. ELLEN ELIZABETH LAIRSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-4200
(503) 494-4473
Mailing address
2944 NE 29TH AVE, PORTLAND, OR 97212-3557
(503) 284-4845
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
200450154NP
OR
Other
Enumeration date
08/25/2006
Last updated
03/19/2021
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