Individual
LAURA MICHELLE DART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2800 N VANCOUVER AVE STE 165, PORTLAND, OR 97227-1644
(503) 413-2902
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-8211
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD187643
OR
Other
Enumeration date
04/01/2015
Last updated
01/14/2019
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