institution
Lark Ryan, Lcsw, Llc
Mental Health Clinic/Center (Including Community Mental Health Center) in Portland, Oregon
NPI 1538599055

Lark Ryan, Lcsw, Llc is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Portland, OR and is specialized in Mental Health (Including Community Mental Health Center). Lark Ryan, Lcsw, Llc practices in Portland, OR. The NPI Number for Lark Ryan, Lcsw, Llc is 1538599055 and holds a License No. L2683 (Oregon).

The current practice location address for Lark Ryan, Lcsw, Llc is 1525 Ne Weidler St # 101, Portland, OR and can be reached out via phone at 503-994-9141 and via fax at 971-232-3042.

Location: 1525 Ne Weidler St # 101, Portland, OR, 97232-1410
institution
Provider Profile Details
NPI Number
1538599055
Provider Name
Lark Ryan, Lcsw, Llc
Credential
Provider Entity Type
Organization
Address
1525 Ne Weidler St # 101, Portland, OR, 97232-1410
Phone Number
503-994-9141
Fax Number
971-232-3042
Provider Enumeration Date
11/19/2013
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
1525 Ne Weidler St # 101
City
State
Zip
97232-1410
Phone Number
503-994-9141
Fax Number
971-232-3042
person
Provider Business Mailing Address Details
Address
1525 Ne Weidler St # 101
City
State
Zip
97232-1410
Phone Number
503-994-9141
Fax Number
971-232-3042
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
License No.
L2683 (Oregon)
Definition
Definition to come...
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