Individual
LORI MICHELLE SEVERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
12250 SW 2ND ST STE B-103, BEAVERTON, OR 97005-2828
(503) 709-0897
Mailing address
12250 SW 2ND ST STE B-103, BEAVERTON, OR 97005-2828
(503) 709-0897
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C5285
OR
Other
Enumeration date
09/17/2020
Last updated
09/17/2020
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