Provider Demographics
NPI:1073392387
Name:ESHREL, LORIEN D (BS,PSS, CRM)
Entity Type:Individual
Prefix:MRS
First Name:LORIEN
Middle Name:D
Last Name:ESHREL
Suffix:
Gender:F
Credentials:BS,PSS, CRM
Other - Prefix:MRS
Other - First Name:LORIEN
Other - Middle Name:D
Other - Last Name:FINN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BS
Mailing Address - Street 1:30 NE MLK BLVD
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97232
Mailing Address - Country:US
Mailing Address - Phone:503-410-8631
Mailing Address - Fax:503-232-3854
Practice Address - Street 1:30 NE MLK BLVD
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97232
Practice Address - Country:US
Practice Address - Phone:503-410-8631
Practice Address - Fax:503-232-3854
Is Sole Proprietor?:No
Enumeration Date:2023-09-26
Last Update Date:2023-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR175T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist