Individual
LAURIE ELLEN VOLM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
15962 BOONES FERRY RD STE 209, LAKE OSWEGO, OR 97035-4360
(503) 313-9030
Mailing address
8120 SW PETERS RD, PORTLAND, OR 97224-7622
(503) 639-6963
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
18940
OR
Other
Enumeration date
07/20/2012
Last updated
07/20/2012
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