Individual
LORISSA ESTHER KLAUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
19500 SE STARK ST, PORTLAND, OR 97233-5757
(503) 669-3962
Mailing address
19500 SE STARK ST, PORTLAND, OR 97233-5757
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD24689
OR
Other
Enumeration date
09/20/2006
Last updated
02/01/2022
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