NPI 1023329562
Marisa Lafata
Practice location
- Address
- 847 NE 19th Ave, Portland, OR 97232-2684
- Phone
- (503) 238-0769
- Mailing address
- PO Box 8459, Portland, OR 97207-8459
Registered specialties
Adult Companion
Primary
Registry record
- NPI
- 1023329562
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 30 Jun 2010
- Record last updated
- 30 Jun 2010
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.