Organization · Type 2 NPI
Lark Ryan, Lcsw, LLC
Mental Health Clinic/Center (Including Community Mental Health Center) · Portland, OR
NPI number
1538599055
Active
Practice location
1525 NE Weidler St # 101
Portland, OR 97232-1410
Fax (971) 232-3042
Mailing address
1525 NE Weidler St Ste 101
Portland, OR 97232-1410
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | L2683 (OR) |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
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About NPI 1538599055
Lark Ryan, Lcsw, LLC's National Provider Identifier is 1538599055, issued on Nov 19, 2013. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Portland, OR. The record was last updated on Feb 21, 2024.