Organization
PORTLAND LIFESTYLE COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARGARET J YOUNG LCSW (LICENSED CLINICAL SOCIAL WORKER)
(503) 309-1163
Entity
Organization
Contact information
Practice address
4605 NE FREMONT ST, #210C, PORTLAND, OR 97213-1707
(503) 309-1163
(503) 331-1591
Mailing address
3439 NE SANDY BLVD, #232, PORTLAND, OR 97232-1959
(503) 335-3853
(503) 331-1591
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L4763
OR
Other
Enumeration date
01/26/2011
Last updated
01/26/2011
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