| Lauren Deisenroth Pmhnp-bc Llc | |
|
4511 Se Hawthorne Blvd Suite 215 Portland OR 97215-3170 | |
| (503) 224-6446 | |
| Not Available |
| Full Name | Lauren Deisenroth Pmhnp-bc Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 4511 Se Hawthorne Blvd, Portland, Oregon |
| Authorized Official Name and Position | Lauren Katherine Deisenroth (PMHNP, OWNER) |
| Authorized Official Contact | 9185203000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lauren Deisenroth Pmhnp-bc Llc 4511 Se Hawthorne Blvd Suite 215 Portland OR 97215-3170 Ph: () - | Lauren Deisenroth Pmhnp-bc Llc 4511 Se Hawthorne Blvd Suite 215 Portland OR 97215-3170 Ph: (503) 224-6446 |
| NPI Number | 1306394663 |
|---|---|
| Provider Enumeration Date | 09/15/2016 |
| Last Update Date | 09/15/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306394663 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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Wellpath Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3701 Se Milwaukie Ave Ste D, Portland, OR 97202 Phone: 503-784-2377 | |
Daniel C Donohue, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2931 Ne Broadway St, Portland, OR 97232 Phone: 503-819-2515 | |
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