Individual
MS. FORTUNE LAURA LALLANDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
3181 SW SAM JACKSON PARK ROAD, PORTLAND, OR 97239-3011
(503) 418-4500
(503) 494-3878
Mailing address
3181 SW SAM JACKSON PARK ROAD, PORTLAND, OR 97239-3011
(503) 418-4500
(503) 494-3878
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
200150071NP
OR
367A00000X
Advanced Practice Midwife
Primary
200150071NP
OR
Other
Enumeration date
09/15/2006
Last updated
01/11/2012
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