IndividualActive
Michele Laraia, PHD, PMHNP
NPI 1508071473 · Prescribing (Medical) Psychologist · Portland, OR
Provider details
- NPI number
- 1508071473
- Entity type
- Individual
- Primary specialty
- Prescribing (Medical) PsychologistBehavioral Health & Social Service Providers
- Credential
- PHD, PMHNP
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Nursing Service Providers
Practice location
1715 E Burnside St
Portland, OR 97214-1531
Phone: (503) 234-4622
Fax: (503) 788-6399
Approximate (ZIP-level) locationGet directions
Mailing address
7107 Sw La View Dr
Portland, OR 97219-3003
Registry dates
- Enumerated
- 2007-05-13
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.