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Contact Information

MARIA I LAZARO ESCUDERO, PHD
905 SE 14TH AVE
PORTLAND, OR97214-2569
 Phone: 503-622-8964
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
 

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for MARIA I LAZARO ESCUDERO · (Female)

NPI Number 1730819681
Status Active
Credentials PHD
Entity Individual
Enumeration date 06/14/2022
Last updated 05/14/2026 - About a month ago
Sole proprietor 1 No
Identifiers
  • PR License # 8619
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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