Individual
MS. LYDIA D. BYHARDT BOLLINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
1880 WILLAMETTE FALLS DR STE 220, WEST LINN, OR 97068-4655
(971) 409-5613
(971) 925-4885
Mailing address
1880 WILLAMETTE FALLS DR STE 220, WEST LINN, OR 97068-4655
(971) 409-5613
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3452
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3452
LCSW
OR
Enumeration date
12/12/2006
Last updated
07/17/2024
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