LAISVUNE SURVILAITE

PORTLAND, OR
NPI1689913550
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163WP0808X Registered Nurse, Psych/Mental Health
(Licence: OR  201243686RN)
Enumeration Date2013-02-12
Last Update Date2013-02-12
Business Address
-- LAISVUNE SURVILAITE
2330 NE SISKIYOU ST
PORTLAND, OR 97212-2471
Phone number: 503-528-0757
Mailing Address
-- LAISVUNE SURVILAITE
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number: 503-238-0769