Individual provider · Type 1 NPI

Michele Teresa Laraia, PhD, PMHNP

Prescribing (Medical) Psychologist · Portland, OR

NPI number 1508071473 Active

Practice location

1715 E Burnside St
Portland, OR 97214-1531

Fax (503) 788-6399

Mailing address

7107 SW La View Dr
Portland, OR 97219-3003

Specialties and licenses

TaxonomyCodeLicense
Prescribing (Medical) Psychologist Primary 103TP0016XNone listed
Adult Psychiatric/Mental Health Registered Nurse 163WP0809XNone listed

Prescribing (Medical) Psychologist: A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or…

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About NPI 1508071473

Michele Teresa Laraia, PhD, PMHNP's National Provider Identifier is 1508071473, issued on May 13, 2007. The primary taxonomy on file is Prescribing (Medical) Psychologist (103TP0016X), and the practice location is in Portland, OR. The record was last updated on Sep 11, 2025.