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Dr. Michele Teresa Laraia, PHD,PMHNP
Adult Psychiatric/Mental Health Registered Nurse in Portland, Oregon
NPI 1508071473

Michele Teresa Laraia is an Adult Psychiatric/Mental Health Registered Nurse based in Portland, OR and is specialized in Psychiatric/Mental Health, Adult. Michele Teresa Laraia practices in Portland, OR and has the professional credentials of PHD,PMHNP. The NPI Number for Michele Teresa Laraia is 1508071473 and holds a License No. (Oregon).

The current practice location address for Michele Teresa Laraia is 1715 E Burnside St, Portland, OR and can be reached out via phone at 503-234-4622 and via fax at 503-788-6399.

Location: 1715 E Burnside St, Portland, OR, 97219-3003
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508071473
Provider Name
Michele Teresa Laraia
Credential
PHD,PMHNP
Provider Entity Type
Individual
Gender
Male
Address
1715 E Burnside St, Portland, OR, 97219-3003
Phone Number
503-234-4622
Fax Number
503-788-6399
Provider Enumeration Date
05/13/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1715 E Burnside St
City
Portland
State
Oregon
Zip
97214-1531
Phone Number
503-234-4622
Fax Number
503-788-6399
person
Provider Business Mailing Address Details
Address
1715 E Burnside St
City
Portland
State
Oregon
Zip
97214-1531
Phone Number
503-234-4622
Fax Number
503-788-6399
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Prescribing (Medical)
Taxonomy
103TP0016X
License No.
(Oregon)
Definition
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has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended.
person
Provider's Taxonomy Details 2
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Psychiatric/Mental Health, Adult
Taxonomy
163WP0809X
License No.
(Oregon)
Definition
Definition to come...
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