Individual
MS. ARDYN R WYATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2015 NW FLANDERS ST APT 106, PORTLAND, OR 97209-1165
(971) 271-0229
Mailing address
2015 NW FLANDERS ST APT 106, PORTLAND, OR 97209-1165
(971) 352-6971
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L16555
—
Other
Enumeration date
08/24/2017
Last updated
06/12/2025
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