Organization
LARK RYAN, LCSW, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARK WEBSTER RYAN (OWNER)
(503) 287-4975
Entity
Organization
Contact information
Practice address
1525 NE WEIDLER ST # 101, PORTLAND, OR 97232-1410
(503) 994-9141
(971) 232-3042
Mailing address
1525 NE WEIDLER ST STE 101, PORTLAND, OR 97232-1410
(503) 994-9141
(971) 232-3042
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
L2683
OR
Other
Enumeration date
11/19/2013
Last updated
02/21/2024
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