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Individual

LORI SEASTROM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3200 NE 109TH AVE, VANCOUVER, WA 98682-7749
(971) 279-0880
Mailing address
1933 N PORTSMOUTH, PORTLAND, OR 97203
(503) 286-1015
(503) 286-2642

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
12/06/2013
Last updated
02/25/2022
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