LAURA MARIE SEPARA THERAPY SERVICES

PORTLAND, OR
NPI1770022493
Entity TypeOrganization
Authorized ContactLAURA MARIE SEPARA
Ma, Lpc
503-724-0943
Organization Subpart ?No
Primary Taxonomy251S00000X 
(Licence: OR  C4399)
Enumeration Date2017-02-14
Last Update Date2017-02-22
Business Address
LAURA MARIE SEPARA THERAPY SERVICES
610 SW ALDER ST SUITE 1100
PORTLAND, OR 97205-3625
Phone number: 503-724-0943
Mailing Address
LAURA MARIE SEPARA THERAPY SERVICES
199 NE IRONCREEK TER
HILLSBORO, OR 97124-5150
Phone number: