Judith Anne Laue, LMT, CCA
Individual provider Active NPI Community Health Worker · Portland, OR
NPI 1598100554 · NPPES record last updated Aug 30, 2013
Key facts
- NPI
- 1598100554
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Worker 172V00000X
- License
- 20016 (OR)
- Practice address
- 3716 SE International Way
Portland, OR 97222-6001 - Phone
- (503) 659-0073
- NPI assigned
- May 5, 2013
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20016 | OR | MD | Community Health Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Keith D. Johns D.C., P.C. | Past |
Accepting new patients | |
| Milwaukie Chiropractic Center | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | 20016 | OR | Yes |
Addresses
Primary practice location
3716 SE International Way
Portland, OR 97222-6001
Mailing address
10245 SE Bell Ave
Portland, OR 97222-2228
Phone (970) 946-7727
Other providers in Portland, OR
- Samuel S.M. Lau
- Nicholas Carl Laub
- Christopher Laube
- Claire J Lauder
- Rebecca Sue Laudon-Blume
- Andreas K Lauer
- Brian A Lauer
- Courtney Janice Lauer
- Hailey E Lauer
- Mark Lauer
All providers in Portland, OR · Community Health Worker in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 30, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.