Provider Demographics
NPI:1871188383
Name:YOSWEIN, LAINA
Entity type:Individual
Prefix:
First Name:LAINA
Middle Name:
Last Name:YOSWEIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4789 EXETER ST
Mailing Address - Street 2:
Mailing Address - City:WEST LINN
Mailing Address - State:OR
Mailing Address - Zip Code:97068-3826
Mailing Address - Country:US
Mailing Address - Phone:503-250-1751
Mailing Address - Fax:
Practice Address - Street 1:9330 SE HAROLD ST
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97266-4637
Practice Address - Country:US
Practice Address - Phone:971-263-3333
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-05
Last Update Date:2021-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health