Individual
LORRAINE NICOLE FOOTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1827 NE 44TH AVE STE 390, PORTLAND, OR 97213-1461
(503) 963-6494
(310) 933-4134
Mailing address
783 NW NAITO PKWY APT 217, PORTLAND, OR 97209-4751
(760) 821-5974
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
ABA-IN-10231455
OR
Other
Enumeration date
04/17/2023
Last updated
04/17/2023
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