Individual
LIONEL PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
324 NW DAVIS, PORTLAND, OR 97205
(503) 226-2203
Mailing address
324 NW DAVIS, PORTLAND, OR 97205
(503) 226-2203
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/11/2016
Last updated
03/11/2016
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