Individual
LOLA AMINOVA RYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11327 SW CHURCHILL, WILSONVILLE, OR 97070-9572
(971) 266-4291
Mailing address
11327 SW CHURCHILL, WILSONVILLE, OR 97070-9572
(971) 266-4291
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L10543
OR
Other
Enumeration date
10/20/2015
Last updated
08/10/2026
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