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MS. LAURA MARIE WICKLINE PMHNP
NPI 1205090586
Nurse Practitioner - Psychiatric/Mental Health in Portland, OR

Active since July 15, 2008
1132 SW 13TH AVE, PORTLAND, OR 97205(503) 484-3341 Get Directions Write a Review

NPPES record last updated: February 8, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Laura Marie Wickline Pmhnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. LAURA MARIE WICKLINE PMHNP (NPI 1205090586) is an individual psychiatric/mental health provider in Portland, Oregon, licensed in Oregon (200950021NP) and active in the NPI registry since July 2008.

NPPES Registry Identity

NPI1205090586
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMS. LAURA MARIE WICKLINECredential: PMHNP
Location Address1132 SW 13TH AVEPortland, OR 97205-1703
Mailing Address1132 Sw 13th AvePortland, OR 97205-1703 · (503) 484-3341
Phone(503) 484-3341
Sole ProprietorNo
Enumeration DateJuly 15, 2008
Last NPPES UpdateFebruary 8, 2012
✔ NPI 1205090586 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in OR · 200950021NP
Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X · License 200442418RN (OR)
1132 SW 13TH AVE, Portland, OR 97205
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Other Names 1

Former Name (1)Ms. Laura Marie Deutsch

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., PacificSource Health Plans, Regence BlueCross BlueShield of Oregon.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CELIA ESTELLE PAGLIN LUCE P.S.S
Peer Specialist
1132 SW 13TH AVE
PORTLAND, OR 97205
Multnomah County (971) 222-9013
AVERY BILL-POVIDAILO CSWA
Social Worker (Clinical)
1132 SW 13TH AVE
PORTLAND, OR 97205
Multnomah County (503) 535-3907
MISS MARY ELIZABETH LEONE FNP
Nurse Practitioner (Family)
1132 SW 13TH AVE
PORTLAND, OR 97205
Multnomah County (503) 535-3800
MS. CATHY RAKERS R.PH.
Pharmacist
1132 SW 13TH AVE
PORTLAND, OR 97205
Multnomah County (503) 535-3888
MR. REYNALDO LUGO JR.
Case Manager/Care Coordinator
1132 SW 13TH AVE
PORTLAND, OR 97205
Multnomah County (503) 888-1425
CARYN SHEBOWICH
Social Worker
1132 SW 13TH AVE
PORTLAND, OR 97205
Multnomah County (503) 535-3860
MRS. AMY OYARZABAL L.M.T
Massage Therapist
1132 SW 13TH AVE
PORTLAND, OR 97205
Multnomah County (503) 445-0974
EMMA ROSE COOPER PSS
Peer Specialist
1132 SW 13TH AVE
PORTLAND, OR 97205
Multnomah County (503) 535-3860

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Laura Wickline's NPI number?

The NPI number for Laura Wickline is 1205090586. It was assigned to this individual provider in the NPPES registry on July 15, 2008. The provider is also known as Ms. Laura Marie Deutsch.

Where is Laura Wickline located?

Laura Wickline practices at 1132 SW 13th Ave, Portland, OR 97205. The listed phone number is (503) 484-3341.

What is Laura Wickline's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

What insurance does Laura Wickline accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans and Regence BlueCross BlueShield of Oregon list Laura Wickline as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Laura Wickline was last updated on February 8, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.