Individual
LIOR AZEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1245 EDGEWATER ST NW, SALEM, OR 97304-4049
(503) 588-5816
(503) 588-5803
Mailing address
1245 EDGEWATER ST NW, SALEM, OR 97304-4049
(503) 588-5816
(503) 588-5803
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C3494
OR
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
10/10/2007
Last updated
07/25/2014
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