Individual
ALISSA HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5200 MEADOWS RD STE 150, LAKE OSWEGO, OR 97035-0066
(971) 380-5626
Mailing address
5200 MEADOWS RD STE 150, LAKE OSWEGO, OR 97035-0066
(971) 380-5626
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
72087071
NY
1041C0700X
Clinical Social Worker
68172
CA
1041C0700X
Clinical Social Worker
Primary
L12809
OR
Other
Enumeration date
09/26/2012
Last updated
03/29/2023
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