Organization · Type 2 NPI

Lauren Deisenroth Pmhnp-Bc LLC

Mental Health Clinic/Center (Including Community Mental Health Center) · Portland, OR

NPI number 1306394663 Active

Practice location

4511 SE Hawthorne Blvd, Suite 215
Portland, OR 97215-3170

Specialties and licenses

TaxonomyCodeLicense
Mental Health Clinic/Center (Including Community Mental Health Center) Primary 261QM0801XNone listed

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

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About NPI 1306394663

Lauren Deisenroth Pmhnp-Bc LLC's National Provider Identifier is 1306394663, issued on Sep 15, 2016. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Portland, OR. The record was last updated on Sep 15, 2016.