Active NPIIndividual providerSole proprietor

Mrs. Lark M Allison-Damitz, MSW

Social Worker, Clinical in Hillsboro, Oregon

NPI Number1689016701
Practice location
2875 NW Stucki Ave, Hillsboro, OR 97124-5806
Fax
—
Last updated
December 20, 2021

Mrs. Lark M Allison-Damitz, MSW is a Social Worker, Clinical based in Hillsboro, OR. Mrs. Lark M Allison-Damitz, MSW holds the professional credentials of MSW. The NPI number for Mrs. Lark M Allison-Damitz, MSW is 1689016701 and holds license No. A4060 (OR). The current practice location address is 2875 NW Stucki Ave, Hillsboro, OR 97124-5806 and the office can be reached by phone at 971-310-1000. The NPI was assigned on July 18, 2013 and the record was last updated in NPPES on December 20, 2021.

●Provider Profile Details

NPI Number
1689016701
Provider Name
Lark Marie Allison-Damitz
Credential
MSW
Entity Type
Individual (Type 1 NPI)
Gender
Female
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Enumeration Date
July 18, 2013
Last Update Date
December 20, 2021
Certification Date
December 20, 2021
NPI Status
Active
Other Names
Lark Marie Allison (Former Name)

◉Business Practice Location Address

Address
2875 NW Stucki Ave
Hillsboro, OR 97124-5806
State
Oregon
ZIP
97124-5806
Country
US
Phone Number
971-310-1000

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✉Business Mailing Address

Address
702 NE 73RD Ave
Hillsboro, OR 97124-7535
City
Hillsboro
State
OR
ZIP
97124-7535
Phone Number
503-702-6023

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Student in an Organized Health Care Education/Training Program390200000XNo——
Social Worker, Clinical1041C0700XYesA4060OR

#Other Provider Identifiers

No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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?Frequently Asked Questions

What is the NPI number of Mrs. Lark M Allison-Damitz, MSW?

The NPI number of Mrs. Lark M Allison-Damitz, MSW is 1689016701. It was assigned on July 18, 2013 and is currently active in the NPPES registry.

What is the specialty of Mrs. Lark M Allison-Damitz, MSW?

Mrs. Lark M Allison-Damitz, MSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X) and holds license No. A4060 (OR).

Where does Mrs. Lark M Allison-Damitz, MSW practice?

The practice location is 2875 NW Stucki Ave, Hillsboro, OR 97124-5806. The office can be reached at 971-310-1000 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1689016701 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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