Individual
LAURA GINSBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LE
Contact information
Practice address
1915 NW KEARNEY ST, PORTLAND, OR 97209-1414
(971) 717-1000
Mailing address
6105 NE 28TH AVE, PORTLAND, OR 97211-6027
(971) 717-1000
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
BAP-E-10250650
OR
Other
Enumeration date
05/12/2026
Last updated
05/12/2026
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