Organization
ABRI RADICALLY OPEN DBT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LI LIN HALLY LCSW (CLINICAL DIRECTOR)
(503) 267-4786
Entity
Organization
Contact information
Practice address
520 SW YAMHILL ST STE 345, PORTLAND, OR 97204-1335
(503) 267-4786
Mailing address
520 SW YAMHILL ST STE 345, PORTLAND, OR 97204-1335
(503) 267-4786
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/07/2019
Last updated
02/07/2019
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