Individual
MS. RAYNA ANNE LAURIDSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9911 SE MOUNT SCOTT BLVD, PORTLAND, OR 97266-6302
(503) 258-4200
Mailing address
1340 COTTONWOOD AVE, SPRINGFIELD, OR 97477-7616
(541) 968-1253
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/09/2013
Last updated
09/09/2013
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