Laura Marie Separa Therapy Services
Laura Marie Separa Therapy Services is a Community/Behavioral Health Agency in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2017.
- Licensed in
- OR
- In the registry since
- 2017
Practice location Address checks out
610 SW Alder St Ste 1100Portland, OR 97205-3625
Phone: (503) 724-0943
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Behavioral Health Agency (primary) | Taxonomy 251S00000X · Licence C4399 (OR) |
|---|
Record details
| NPI number | 1770022493 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Laura Separa — Ma, Lpc · (503) 724-0943 |
| NPI enumerated | February 14, 2017 |
| Last updated in NPPES | February 22, 2017 |
| Mailing address | 199 Ne Ironcreek Ter, Hillsboro, OR 97124-5150 |
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