Individual
ALEXIS BOBBETTE LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSWA
Contact information
Practice address
209 SW 4TH AVE, PORTLAND, OR 97204-1813
(503) 823-4000
Mailing address
5254 NE 26TH AVE, PORTLAND, OR 97211-6216
(503) 475-6424
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A5716
OR
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
10/08/2018
Last updated
08/25/2022
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