# PORTLAND LIFESTYLE COUNSELING, LLC

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

## Provider details

- **NPI number:** 1427354273
- **Authorized official:** MARGARET J YOUNG LCSW (LICENSED CLINICAL SOCIAL WORKER)
- **Authorized official phone:** (503) 309-1163

## Contact information

- **Practice address:** 4605 NE FREMONT ST, \#210C, PORTLAND, OR 97213-1707
- **Practice address phone:** (503) 309-1163
- **Practice address fax:** (503) 331-1591
- **Mailing address:** 3439 NE SANDY BLVD, \#232, PORTLAND, OR 97232-1959
- **Mailing address phone:** (503) 335-3853
- **Mailing address fax:** (503) 331-1591

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | L4763 | OR | Yes |

## Other

- **Enumeration date:** 01/26/2011
- **Last updated:** 01/26/2011