Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YS0200X | School Counselor | ||
N | 1041C0700X | Clinical Social Worker | L1345 | OR |
NPI | 1043374416 |
---|---|
Provider Name | Laurel Harroun |
First Address | Portland, OR 97204-1817 |
Second Address | Portland, OR 97204-1817 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/12/2006 |
Last Update Date | 08/07/2007 |