Individual provider · Type 1 NPI

Courtney Janice Lauer

Medical Physician Assistant · Portland, OR

NPI number 1194493924 Active

Practice location

3930 SE Division St
Portland, OR 97202-1643

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA217851 (OR)

Medical Physician Assistant: Definition to come...

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About NPI 1194493924

Courtney Janice Lauer's National Provider Identifier is 1194493924, issued on Sep 6, 2021. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Portland, OR. The record was last updated on Oct 15, 2026.