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Individual

MISS LORI K. WHITTAKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
3419 NE SANDY BLVD, PORTLAND, OR 97232-1959
(503) 998-2218
Mailing address
938 SW ADRIAN TER, BEAVERTON, OR 97005-1909
(503) 998-2218
(360) 574-3908

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3018
OR
1041C0700X
Clinical Social Worker
LW00008786
WA

Other

Enumeration date
01/02/2007
Last updated
12/13/2019
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