Individual
LAURA CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
33 NW BROADWAY, PORTLAND, OR 97209-3580
(503) 228-7134
Mailing address
232 NW 6TH AVE, PORTLAND, OR 97209-3609
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C9895
OR
Other
Enumeration date
02/01/2024
Last updated
05/29/2025
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