# ABRI RADICALLY OPEN DBT LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124583786
- **Authorized official:** LI LIN HALLY LCSW (CLINICAL DIRECTOR)
- **Authorized official phone:** (503) 267-4786

## Contact information

- **Practice address:** 520 SW YAMHILL ST STE 345, PORTLAND, OR 97204-1335
- **Practice address phone:** (503) 267-4786
- **Mailing address:** 520 SW YAMHILL ST STE 345, PORTLAND, OR 97204-1335
- **Mailing address phone:** (503) 267-4786

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YP2500X | Professional Counselor | — | NULL | — |
| 101YP2500X | Professional Counselor | — | — | — |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 02/07/2019
- **Last updated:** 02/07/2019