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Contact Information

MICHELE T LARAIA, PHD, PMHNP
1715 E BURNSIDE ST
PORTLAND, OR97214-1531
 Phone: 503-234-4622
 Fax: 503-788-6399
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Prescribing (Medical)

103TP0016X 62 Psychologist, Clinical
 

Psychiatric/Mental Health, Adult

163WP0809X
Indicates primary specialty

NPI Profile & details for MICHELE T LARAIA · (Male)

NPI Number 1508071473
Status Active
Credentials PHD, PMHNP
Entity Individual
Enumeration date 05/13/2007
Last updated 09/11/2025 - About 9 months ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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