LAURA BLISS
Individual Provider (NPI-1)
Active
Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology
Provider Information
- NPI Number
1902347263- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 3181 SW SAM JACKSON PARK RD, PORTLAND, OR, 972393011
- Phone
- (503) 494-5856
- Fax
- (503) 494-2370
Specialties & Taxonomies
Pediatrics, Neurodevelopmental Disabilities
License: OR #MD217421
Student in an Organized Health Care Education/Training Program
Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology
Primary License: OR #MD217421