Individual
MS. LAURA JEAN RILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
4314 N MISSISSIPPI AVE, PORTLAND, OR 97217-3135
(503) 941-0485
Mailing address
4314 N MISSISSIPPI AVE, PORTLAND, OR 97217-3135
(503) 941-0485
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C6517
OR
Other
Enumeration date
08/15/2013
Last updated
10/03/2024
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