NPI 1902347263 · live from the CMS NPI Registry
Laura Bliss
Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology in Portland, OR. National Provider Identifier 1902347263, active.
NPI record
| NPI | 1902347263 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology 2084N0402X |
| Practice location | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 |
| Practice phone | 503-494-5856 |
| Enumerated | March 19, 2017 |
| Last updated | September 13, 2023 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatrics, Neurodevelopmental Disabilities | 2080P0008X | MD217421 (OR) |
| Student in an Organized Health Care Education/Training Program | 390200000X | — |
| Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology primary | 2084N0402X | MD217421 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.