Provider Demographics
NPI:1669351664
Name:LAIRD, VICTORIA (BS)
Entity type:Individual
Prefix:
First Name:VICTORIA
Middle Name:
Last Name:LAIRD
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2580 REMINGTON DR
Mailing Address - Street 2:
Mailing Address - City:WEST LINN
Mailing Address - State:OR
Mailing Address - Zip Code:97068-4166
Mailing Address - Country:US
Mailing Address - Phone:503-703-5365
Mailing Address - Fax:
Practice Address - Street 1:2990 BRANDYWINE DR
Practice Address - Street 2:
Practice Address - City:WEST LINN
Practice Address - State:OR
Practice Address - Zip Code:97068-8313
Practice Address - Country:US
Practice Address - Phone:503-766-2645
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-02
Last Update Date:2025-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor