LAURA MARIE WICKLINE

PORTLAND, OR
NPI1205090586
Former NameLAURA MARIE DEUTSCH
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: OR  200950021NP)
Additional Taxonomies163WP0808X Registered Nurse, Psych/Mental Health
(Licence: OR  200442418RN)
Enumeration Date2008-07-15
Last Update Date2012-02-08
Business Address
Ms. LAURA MARIE WICKLINE PMHNP
1132 SW 13TH AVE
PORTLAND, OR 97205-1703
Phone number: 503-484-3341
Mailing Address
Ms. LAURA MARIE WICKLINE PMHNP
1132 SW 13TH AVE
PORTLAND, OR 97205-1703
Phone number: 503-484-3341