Individual
LORI EBERLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
500 NE MULTNOMAH ST FL 7, PORTLAND, OR 97232-2023
(503) 499-5200
Mailing address
7865 N WASHBURNE AVE, PORTLAND, OR 97217-5945
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L4039
OR
Other
Enumeration date
05/07/2024
Last updated
05/07/2024
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