Individual
DANIT LIDOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3115 NE SANDY BLVD STE 225, PORTLAND, OR 97232-2777
(971) 407-3930
Mailing address
1306 NW HOYT ST STE 407, PORTLAND, OR 97209-2787
(503) 433-6118
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L10959
OR
Other
Enumeration date
09/09/2022
Last updated
09/09/2022
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