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Organization
PORTLAND TRAUMA RECOVERY, LLC
Active
Organization
PORTLAND TRAUMA RECOVERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORRI ASDER LPC (OWNER)
(503) 799-1357
Entity
Organization
Contact information
Practice address
2105 NE CESAR E CHAVEZ BLVD, #200, PORTLAND, OR 97212-5433
(503) 799-1357
Mailing address
2105 NE CESAR E CHAVEZ BLVD, #200, PORTLAND, OR 97212-5433
(503) 799-1357
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C3651
OR
Other
Enumeration date
08/26/2016
Last updated
08/26/2016
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