Laraia, Michele Teresa

Laraia, Michele Teresa is an sole proprietor health care provider with primary practice located at 1715 E Burnside St , Portland OR 97214-1531. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Prescribing (Medical), Nursing Service Providers / Psychiatric/Mental Health, Adult. Behavioral Health & Social Service Providers / Prescribing (Medical) is his primary health care specialty. Laraia, Michele Teresa can be contacted via phone (503) 234-4622.

Contact Information

Primary practice address
1715 E Burnside St Portland OR 97214-1531
Phone: (503) 234-4622
Fax: (503) 788-6399
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Prescribing (Medical) 103TP0016X Oregon
Nursing Service Providers / Psychiatric/Mental Health, Adult 163WP0809X Oregon

Profile Details

NPI number 1508071473
LBN Legal business name Laraia, Michele Teresa
Credentials PHD, PMHNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 13th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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