Individual
MIRANDA LYON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
10260 SW GREENBURG RD FL 4, PORTLAND, OR 97223-5500
(971) 279-8180
Mailing address
10260 SW GREENBURG RD FL 4, PORTLAND, OR 97223-5500
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L11868
OR
Other
Enumeration date
07/15/2025
Last updated
02/03/2026
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