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Ms. Laura Marie Wickline, PMHNP
Psychiatric/Mental Health Nurse Practitioner in Portland, Oregon
NPI 1205090586

Laura Marie Wickline is a Psychiatric/Mental Health Nurse Practitioner based in Portland, OR and is specialized in Psychiatric/Mental Health. Laura Marie Wickline practices in Portland, OR and has the professional credentials of PMHNP. The NPI Number for Laura Marie Wickline is 1205090586 and holds a License No. 200442418RN (Oregon).

The current practice location address for Laura Marie Wickline is 1132 Sw 13Th Ave, Portland, OR and can be reached out via phone at 503-484-3341.

Location: 1132 Sw 13Th Ave, Portland, OR, 97205-1703
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Provider Profile Details
NPI Number
1205090586
Provider Name
Laura Marie Wickline
Credential
PMHNP
Provider Entity Type
Individual
Gender
Female
Address
1132 Sw 13Th Ave, Portland, OR, 97205-1703
Phone Number
503-484-3341
Fax Number
Provider Enumeration Date
07/15/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1132 Sw 13Th Ave
City
State
Zip
97205-1703
Phone Number
503-484-3341
Fax Number
person
Provider Business Mailing Address Details
Address
1132 Sw 13Th Ave
City
State
Zip
97205-1703
Phone Number
503-484-3341
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
200950021NP (Oregon)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
200442418RN (Oregon)
Definition
Definition to come...
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