Provider Demographics
NPI:1396395281
Name:CONSTANTINE, LAUREN PATRICIA ELIZABETH
Entity Type:Individual
Prefix:MRS
First Name:LAUREN
Middle Name:PATRICIA ELIZABETH
Last Name:CONSTANTINE
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:LAUREN
Other - Middle Name:PATRICIA ELIZABETH
Other - Last Name:CLEMSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1218 SE JACQUELINE DR
Mailing Address - Street 2:
Mailing Address - City:HILLSBORO
Mailing Address - State:OR
Mailing Address - Zip Code:97123
Mailing Address - Country:US
Mailing Address - Phone:971-727-0301
Mailing Address - Fax:
Practice Address - Street 1:6750 SW SCHOLLS FERRY RD APT 28
Practice Address - Street 2:
Practice Address - City:BEAVERTON
Practice Address - State:OR
Practice Address - Zip Code:97008-5447
Practice Address - Country:US
Practice Address - Phone:971-727-0301
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-12
Last Update Date:2023-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Single Specialty