Most Relevant Information
Provider Data
| NPI Number: | 1003414855 |
| Provider Name: | LAURA ISABEL MIRANDA OLIVERA MA, PSYD |
| Entity Type: | Individual |
| Taxonomy Code: | 103TM1800X |
| Specialty: | Psychologist |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/14/2020 |
| Last Updated: | 06/13/2024 |
Provider Practice Location
7800 SW BARBUR BLVD BLDG 2
PORTLAND
OR
972192895
Practice Location Phone/Fax
| Phone: | 8552953276 |
| Fax: | 8885882752 |
Provider Mailing Location
1333 S MAYFLOWER AVE STE 220
MONROVIA
CA
910165239
Provider Mailing Phone/Fax
| Phone: | 8182416780 |
| Fax: | 8885882752 |