Most Relevant Information
Provider Data
| NPI Number: | 1003030610 |
| Provider Name: | LAURA ANN ALLEN MS, CADCIII |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: | 06-11-73 |
Most Important Dates
| Enumeration Date: | 04/13/2007 |
| Last Updated: | 05/23/2023 |
Provider Practice Location
324 NW DAVIS ST
PORTLAND
OR
972093925
Practice Location Phone/Fax
| Phone: | 5032262203 |
| Fax: | 5032234231 |
Provider Mailing Location
324 NW DAVIS ST
PORTLAND
OR
972093925
Provider Mailing Phone/Fax
| Phone: | 5032262203 |
| Fax: | 5032234231 |