Individual
MS. LAURIE L LUSK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3325 NE 42ND AVE, PORTLAND, OR 97213-1122
(503) 280-2077
(503) 280-5244
Mailing address
PO BOX 18015, PORTLAND, OR 97218-0015
(503) 280-2077
(503) 280-5244
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3102
OR
Other
Enumeration date
02/20/2007
Last updated
07/08/2007
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