ELLEN ELIZABETH LAIRSON

PORTLAND, OR
NPI1700994225
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: OR  200450154NP)
Enumeration Date2006-08-25
Last Update Date2021-03-19
Business Address
Ms. ELLEN ELIZABETH LAIRSON ANP
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number: 503-494-4200
Mailing Address
Ms. ELLEN ELIZABETH LAIRSON ANP
2944 NE 29TH AVE
PORTLAND, OR 97212-3557
Phone number: 503-284-4845