Lara Michelle Pevzner in Portland - Mental Health
Lara Michelle Pevzner - NPI 1770776189
Lara Michelle Pevzner is a Mental Health in Portland, Oregon. Lara Michelle Pevzner practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Lara Michelle Pevzner is 1770776189. The last update date is 2012-10-04.
Lara Michelle Pevzner's current location address is 2304 E Burnside St, Portland, Oregon. You can contact this provider via phone number 5032086473. The mailing address for Lara Michelle Pevzner is 2304 E Burnside St, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lara Michelle Pevzner |
|---|---|
| Address | 2304 E Burnside St, Portland, Oregon |
| Phone Number | 5032086473 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | M.A., LPC |
NPI Number Detail
| NPI Number | 1770776189 |
|---|---|
| Provider Enumeration Date | 2007-08-20 |
| Last Updated Date | 2012-10-04 |
Provider Mailing Address Detail
| Address | 2304 E Burnside St |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972141677 |
| Phone Number | 5032086473 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
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Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
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What is the Lara Michelle Pevzner's unique identification number?
The Lara Michelle Pevzner has been assigned the NPI (National Provider Identifier) Number 1770776189 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Lara Michelle Pevzner?
The Lara Michelle Pevzner is situated at 2304 E Burnside St, in the city of Portland, state of OR, with the zip code 972141677.
What is Lara Michelle Pevzner's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Lara Michelle Pevzner is Mental Health, and the taxonomy code that classifies this field of practice is 101Ym0800X.
On what date did Lara Michelle Pevzner receive its 1770776189 assignment from the Centers for Medicare & Medicaid Services?
The Lara Michelle Pevzner was assigned its 1770776189 on 2007-08-20, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Lara Michelle Pevzner most recently updated?
The details pertaining to the Lara Michelle Pevzner, including its address, specialty, and other relevant information, were last refreshed on 2012-10-04.