| Doctor Name: | LAURA ANN BURWELL |
| NPI Number: | 1003030610 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS, CADCII |
| License Number: | 06-11-73 |
| Business Practice Address: | 4650 Sw Griffith Dr Beaverton, OR - 970058719 |
| Business Phone Number: | 5036848159 |
| Business Fax Number: | 5035980934 |
| Mailing Address: | 4650 Sw Griffith Dr, BEAVERTON |
| State: | OR |
| Postal Code: | 970058719 |
| Phone Number: | 5036848159 |
| Fax Number: | 5035980934 |
| NPI Enumeration Date: | 04/13/2007 |
| NPI Last Update Date: | 02/22/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 06-11-73 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OR |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |