Dr Michele Teresa Laraia, PHD, PMHNP is a
Registered Nurse - Psychiatric/mental Health, Adult based in Portland, Oregon. Dr Michele Teresa Laraia is licensed to practice in Oregon (license number ) and his current practice location is
1715 E Burnside St, Portland, Oregon. He can be reached at his office (for appointments etc.) via phone at
(503) 234-4622.
NPI number for Dr Michele Teresa Laraia is 1508071473 and his current mailing address is 7107 Sw La View Dr, Portland, Oregon. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1508071473.
Healthcare Provider's Profile
Full Name | Dr Michele Teresa Laraia |
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Gender | Male |
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Speciality | Registered Nurse - Psychiatric/mental Health, Adult |
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Location | 1715 E Burnside St, Portland, Oregon |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1508071473
- Provider Enumeration Date: 05/13/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Michele Teresa Laraia such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1508071473 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TP0016X | Psychologist - Prescribing (medical) | (Oregon) | Primary |
163WP0809X | Registered Nurse - Psychiatric/mental Health, Adult | (Oregon) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Michele Teresa Laraia is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Michele Teresa Laraia, PHD, PMHNP 7107 Sw La View Dr, Portland, OR 97219-3003 Ph: (503) 449-6658 | Dr Michele Teresa Laraia, PHD, PMHNP 1715 E Burnside St, Portland, OR 97214-1531 Ph: (503) 234-4622 |
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